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r_Iionff!- 191A94 flAr_RMINFR <br />ACORD- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/D <br />PRODUCER <br />HUB SW Grand Junction <br />2742 Crossroads Blvd THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P.O. Box 60130 <br />Grand Junction, CO 81506 c <br />?ECE? <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />?a INSURERA: Employers Mutual Casualty Company 21415 <br />C.B. Minerals Company, LLC AUG ZQ INSURER B: <br />PO BOX 1827 ? * <br />?{? INSURER C: <br />Pebble Beach, CA 93953 01 <br />V?S <br />?O a? <br />D? <br />$8 INSURER D: <br /> s <br />? <br />M? INSURER E: <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE M/DDIYY) POLICY EXPIRATION <br />DATE (MM/DDIYY) <br />LIMITS <br />A GENERAL LIABILITY 1X15286 07/12/08 07/12/09 EACH OCCURRENCE $500,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGES ( REa occurrence) ENTED $100,000 <br /> CLAIMS MADE OCCUR MED EXP (Any one person) s5,000 <br /> PERSONAL & ADV INJURY $500 000 <br /> GENERAL AGGREGATE $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 <br /> POLICY PE OT- LOC <br /> <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />$ <br /> (Ea accident) <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> (Per accident) <br /> NON-OWNED AUTOS <br /> <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR EICLAIMS MADE AGGREGATE $ <br /> <br /> <br /> DEDUCTIBLE $ <br /> <br /> RETENTION $ $ <br /> - -?- - - - _ - -- - - - - - - WC ST - - <br /> WORKERS COMPENSATION AND IM FR <br />DRY <br /> EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br /> <br /> OTHER <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />DMG Permit No. C-84-065 - Coal Ridge No. 1 Mine, East of <br />New Castle,CO South of the River. NCIG Financial, Inc. and the State of <br />Colorado Division of Minerals & Geology are included as Additional <br />Insureds. *10 Days Notice For Non-Payment Of Premium. **or incur <br />(See Attached Descriptions) <br />RTIFICATE HOLD <br />State of Colorado <br />Division of Minerals & Geology <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />TE THEREOF, THE ISSUING INSURER WILL Rp00QO(jtR4t MAIL In* DAYS WRITTEN <br />TICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, QRAAQ K <br />AUTHORIZED EP2 SEMTIVE ? I <br />ACORD 25 (2001108) 1 Of 3 #S44979/M44977 ACK 0 ACORD CORPORATION 1988