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<br />PPOOUCER Sedgwic k James Of Georgia, Inc. THIS CERTIFICATE IS ISSUED AS A MA
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<br />Suite 500 - SOUth TOWeT HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />3333 Peachtree Road, N. E. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Atlanta, Georgia 30326-1043 COMPANIES AFFORDING COVERAGE
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<br /> A Federal Insurance Company
<br />INBURED
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<br />Oxbow Carbon & Minerals, Inc. I s Colorado Comp. Insurance Auth.
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<br />West Palm Beach, FL 33401 COMPANY
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<br />COVERAGES ~:zie a. :b"a .1~.a's`= .>':~>..,,.. ....~;.
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<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU AMED ABOVE FOR THE POLICY PERIOD „
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />ERCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEE91Ip®Q1C6b ~TRAIL'.1~6p,(1pylUF~Y
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<br />- POLICY NUMBER I POLICY EFFECTIVE
<br />DATE (MMIDD/YY) POLICY E%PIRATION LIMITS
<br />DATE (MM/DD/YY)
<br />A GEN ERAL LIABILITY 3 710 4 2 6 8 7 21 9 7 GENERAL AGGREGATE $2 ,_~ Q Q~_Q Q O
<br /> ~{ COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG $ ~ Q Q ~
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<br /> CLAIMS MADE ~ OCCUR PERSONAL 8 AOV INJURY _
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<br /> OWNER'S A CONTRACTOR'S PROT EACH OCCURRENCE _
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<br />$ 1-,_Q Q Q ~_Q Q Q
<br /> FIRE DAMAGE (Any one lira) $ 10 Q
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<br /> MED EXP (Any one person) _
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<br />A AUT OMOBILE LIABILITY 73077258 7/21/96 7 21 97
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<br /> PROPERTY DAMAGE E
<br /> GARAGE LIABILITY AUTO ONLY ~ EA ACCIDENT $
<br /> ANY AUTO OTHER THAN AUTO ONLY:
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<br /> EACH ACCIDENT S
<br /> AGGREGATE E
<br />A E%CESS LIABILffY n
<br />79083801 7 21 9 EACH OCCURRENCE $rj~OQQ, QQQ
<br /> X UMBRELLA FORM AGGREGATE $S, OOO, OOO
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<br />B WORKERS COMPENSATION AND 00100837 1 OZ 96 0 x TORVLMITS OER ~'~ ~ "~ ~~~~~~~~~~~
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<br />SI INCL EL DISEASE -POLICY LIMIT $ I , O O O , O O O
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<br />OFFICERS ARE:
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<br />EL DISEASE ~ EA EMPLOYEE
<br />$ 1 , O O O , O O O
<br /> OTHER
<br />OEBCRIPTION OF OPERATIONSA.OCATIONS/VEHICLE55PECIAL ITEMS
<br />Re: Somerset and Sanborn Creek Mines - DMG Permit No. 0-81-022
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<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />Divis>.on Of Minerals & Geology E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL~J7' OCIVALKi~ MAIL
<br />Attn : Dave Berry 3 D DAYS WRfTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />1313 Sherman St. Room 215 xl~oc~xlarsosecaas~al~oam~rmaaaaLae
<br />Denver, CO 80203 '$ffi ~'~ aas~~>~s~~sm~
<br /> THORIZEO RESENT VE 8 13 96 ' Rev>_se
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