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. . , . iii iiiiiiiiiiiiiiii <br />- <br /> <br />mad . .. .. <br />. - . .. <br /> <br />NAME AND ADDRESS OF AGENCY <br /> COMPANIES AFFORDING COVERAGES <br />Inc. <br />Surface Mining Insurance Services <br />, <br />424 Lorna Square <br />LETTER Con~rcia <br />GDMPA"Y q IVED <br />AL 35216 <br />Winningham <br />, <br /> COMPANY <br />LETTER <br /> <br />NAME AND ADDRESS OF INSURED <br />COMPANY <br /> LETTER <br /> <br />American EUels, Inc. MINED <br />P <br />O <br />Box Sll <br />of Natural Resources <br />°T~ER"Y D a <br />ot <br />D <br />. <br />. L <br />. <br />. <br />Colo. <br />Auguilar, CO 81021 <br /> COMPANY E <br />LETTER <br /> <br />This is to certity that porkies of insurance listed below have been issuetl to the insured named above and are in lorce at this time. Notwithstanding any repuirement, term or condition <br />of any contrsct or oMer document with respect to which this certificete may be issued or may pertain, the insurance aHOrdetl by the policies described hereto is sublect to all [he <br />terms, exclusions and conditions of such policies. <br /> P <br />CV Limits of Liability in Thousand s ) <br />COMPANY <br />LETTER TYPE OF INSURANCE POLICY NUMBER GLI <br />E%PIRATION DATE LACH <br />OCCURRENCE AGGREGATE <br /> GENERAL LIABILITY <br />BODILY INJURY <br />S SOD, <br />S SOD, <br /> COMPREHENSIVE FORM <br /> ^x PREMISES-OPERATIONS PROPCRTVDAMAGE S rjOO, i SOD, <br /> ^x ExPlO510N ANO COLLAPSE <br /> HAZARD <br />A ^ UNDERGROUNp HAZARD <br />a PRODUCTS/COMPLETED <br />CZE 566216 <br />2/1/85 <br /> OPERATIONS HAZARD <br />Q CONTRACTUAL INSURANCE BODILY INJURY AND <br />PROPERTY DAMAGE <br />S <br />1 <br /> a BROAD FORM PROPERTY COMBINED <br /> DAMAGE <br />INDEPENDENT CONTRACTORS <br /> PE RSONAI INJURY P <br />NA <br />N R 5 <br /> ERSO <br />L I Y <br />JU <br /> AUTOMOBILE LIABILITY Booiw Inmar <br />5 <br /> (EACH PER50N1 <br /> ^ COMPREHENSIVE FORM BODILY INJURY s <br /> ^ OwNED (EACH ACCIDENT) <br /> ^ HIRED PROPERTY DAMAGE S <br /> <br />NON~OWNED BODILY INJURY AND <br />5 <br /> PROPERTY DAMAGE <br /> COMBINED <br /> EXCESS LIABILITY <br /> BODILY INJURY PNO <br /> ^ UMBRELLA FORM PROPERTY pAMAGE s S <br /> ^ OTMERTHAN UMBRELLA COMBINED <br /> FORM <br /> WORKERS' COMPENSATION STATUTORY <br /> and <br /> EMPLOYERS' LIABILITY s d4N.CCIDf nTI <br /> OTRER <br />DESCRIPTION OF OPERATIONS/LOCATIDNSNEHICLE$ <br />All Surface Coal Mining in the State of Colorado <br />Cancellation: Should any of the above descrj6ed poli cies be cancelled before the expiration date thereof, the issuing com- <br />pany will endeavor to mail 1-U days written notice to the below named certificate holder, but failure to <br />mail such notice shall impose no obligat ion or (lability of any kind upon the company. <br />NAME AND ADDRESS OF CERTIFICATE HOLDER 3 X29 ~S4 <br />Mined Land Reclamation GATE ISSUED. <br />423 Centenial Building ' <br />1313 Sherman St. o~ <br />~ O <br />[knver, CO 80203 . <br />%AUTHORIZED REPRESENTATIVE <br />ACpRD 25 (179) <br />