2008-04-28_GENERAL DOCUMENTS - C1981033

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ACORD CERTIFICATE OF LIABILITY INSURANCE 4/23/20 0 PRODUCER (970) 243 -6600 FAX: (970)243L3914 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Home Loan & Investment Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 205 North 4th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Grand Junction CO 81502 -0100 RECEIVE INSURERS AFFORDING COVERAGE NAIC # INSURED . _.. Q R INSURER A: Colorado Casualty _. 417-85 Bear Coal- Inc. APR 2 8 �oo INSURER B: Permit #C -81 -33 P O Box 1754 DiVISiOf►0( uRERC: Paonia CO 81428 Mining and Safe INSURER D: INSURER E: :OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. -- ------ E LIMITS SHOWN MAY HAVE BEEN REDUCED ID TR ADD'L TYPE OF INSURANCE POLICY NUMBER P DATE fMM /DDT/YYE POLICY D/Y�I LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY A CLAIMSMADE F OCCUR BP 0528476) 08 GEN'L AGGREGATE LIMIT APPLIES PER: 5/17/2008 1 5/17/2009 IRRENCE $ 1 ) RENTED E occurrence) $ 100 00 ny one person) $ 5,000 &ADV INJURY $ 1,000,000 GGREGATE $ 1,000,000 - COMP /OPAGG $ 1,000,000 DEDUCTIBLE $ RETENTION WORKERS COMPENSATION AND WC STATU- OTH- _- VERB= L-IABILFTY - -- - -- - -- -- '- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH. ACCIDENT $ OFFiCER/MEMBER EXCL'UDED? - " E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A I OTHER Property BP 0528476 X08 5/17/2008 5/17/2009 Building $145,623 contents $10, 000 I DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (970)929-5256 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COLORADO DIVISION OF MINERALS AND EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL M BXXX MAIL GEOLOGY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1313 SHERMAN ST. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ROOM 215 DENVER CO 80203 INSURER, ITS AGE TS RREPRESENTATI AUTHORIZED REPtSEttrAnVE ACORD 25 (2001/08) 4 A CORD CORPORATION 1988 INS025 (0108).08a Page 1 of 2 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY.INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS I _ BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS _ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN $ ANY AUTO AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY E OCC URREN $ AGGREGATE $ OCCUR FI CLAIMS MADE DEDUCTIBLE $ RETENTION WORKERS COMPENSATION AND WC STATU- OTH- _- VERB= L-IABILFTY - -- - -- - -- -- '- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH. ACCIDENT $ OFFiCER/MEMBER EXCL'UDED? - " E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ A I OTHER Property BP 0528476 X08 5/17/2008 5/17/2009 Building $145,623 contents $10, 000 I DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION (970)929-5256 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COLORADO DIVISION OF MINERALS AND EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL M BXXX MAIL GEOLOGY 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1313 SHERMAN ST. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ROOM 215 DENVER CO 80203 INSURER, ITS AGE TS RREPRESENTATI AUTHORIZED REPtSEttrAnVE ACORD 25 (2001/08) 4 A CORD CORPORATION 1988 INS025 (0108).08a Page 1 of 2