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~~ <br />~ <br />~ <br />~~ <br />~ <br />D <br />~~~~ MIDD/YY) <br />~ <br />~ <br />T~ ~~G~~ <br />~l~ <br />D 28 <br /> ~"- <br />8~1 <br />N <br />k <br />1181 ;111r• <br />ra <br />° 8m <br /># <br />mR <br />, <br />f <br />. <br />. <br /> . ._._..:._._._. <br />pR~DbUCER .. ._.__ ........: .._ ......:..... .... .. . <br />. <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Aeordia of Kentucky-Lax ONLY AND CONFEflS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> Loxlnyton Green Two, Sulta 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> 220 Lsz lnyto06rean Circle - COMPANIES AFFORDING COVERAGE <br /> Loxlnyton KY-40503-3311 ~ - <br />D COMPANY <br /> (859) 273-6600 N E /\ Federal Insurance Company <br /> INSURED ~ ~ ~ -' COMPANY ~ <br /> _ <br />' Central Appal aehla Yining, LLC <br />, O 20VJ B <br />` <br /> ,1 <br />N <br />P.O. BoX 2827 1~N ~~ COMPANY <br /> Pikevl lls, KY 41501 <br />erals and GeolD9V C " <br /> n DS Min <br /> COMPANY <br />[)ivisie <br /> D <br /> Cl3VERAG~B <br /> THISIS TO CERTIFY THATTHE POLICIES OF INSURANCELISTED BELO W HAVE BEEN ISSUED TO THE INSUREDNAMEDABOVE FOR THE POLICY PERIOD <br /> INDICATED,NOT W ITHSTANDINGANVREQUIREMENT,TERMOR CONDITIONOFANYCONTRACT OR OTHERDOCUMENT W ITHRESPECTTO W HICHTHIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br /> ~ TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION <br />LIMRB <br /> LTR DATE (MMIDD/YY) DATE (MMIDDm) <br /> A OE NERALLIABam 37111019 5/09/03 5/09/04 GENERAL AGGREGATE S 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS.COMP/OP AG6 4 2,000,D00 <br /> CLAIMS MADE ~ OCCUR PERSONAL fl ADV INJURY S 1,000,000 <br /> OWNER'S6 CONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000 <br /> FIRE DAMAGE (Any one fire) f 50,000 <br /> MEO EXP (Any one person) f 5,000 <br /> A AU TOMOBaE LIABam 73252298 5/09/03 5/09/04 <br /> COMBINED SINGLE LIMIT $ <br /> X ANY AUTO 1,000,OOD <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS ~ (Per person) - f - "- - <br /> X HIRED AUTOS BODILY INJURY <br />f <br /> X NON~OWNED AUTOS <br />Per accident) <br />1 <br /> PROPERTY DAMAGE <br /> S _ <br /> GARAGE LIABam AUTO ONLY ~ EA ACCIDENT f <br /> ANY AUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT 4 <br /> AGGREGATE $ <br /> E%CE88 LIABam EACH OCCURRENCE S <br /> UMBRELLA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM g <br /> WORKERS COMPENSATION ANO WC STATU~ OTH~ <br />_ <br />- -. .EMPLOYCfl8'LIABam- - - ---- - -- _ _ _ <br /> EL EACH ACCIDENT 4 <br /> THE PROPRIETOR/ INCL EL DISEASE~POLICY LIMIT f <br /> PARTNERS/E%ECUTIVE <br /> OFFICERS ARE: E%CL EL DISEASE~EA EMPLOYEE 3 <br /> OTHER <br /> DESCRIPTION OF OPERATIONSILOCATIONSIVENICLEB/SPECIAL ITEMS <br /> YcClane Canyon Yf ne, Permit No. C-80-004 6 Yunyar Canyon Yine, Permit Na C-81-02 <br /> CERTl.E1CATEHpLDER ._.: .~ CANCELLATiQN:~ :' :~: " . <br /> ' SHOULD ANY OF TXE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> State Of Colorado E%PIRATION DATE THEREOF, THE ISSUING COMPANY WaL EIK19NYtlR(IDtl(MAa <br /> Oivi Sian of Minerals 6 Gaoloyy 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br /> 1313 Sharman St., Roam 215 N100BYIKYNYXpXYYMX79lNNXYWYIYYXNXYYX1Y0YlYY1Ntl(YIYDOIXYWIYXIR(KMIYIYIDO(% <br /> Denver, CO 80203 X%IBMKX XXRXXIN9lKA1W(A9(NX)BBBBBBBNWIIWl1~IG <br /> A SEN 4 <br /> ~ hilip B. Gibson <br /> ACORQ'rS•S 115 ~ XGOTlp C~71iPARATlUt4 1 S8S;; <br />~~ <br /> CERTIFICATE: 003/001/ 00004 <br />