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2013-12-19_REVISION - C1981013
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2013-12-19_REVISION - C1981013
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Entry Properties
Last modified
8/24/2016 5:38:14 PM
Creation date
12/23/2013 10:31:55 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
Revision
Doc Date
12/19/2013
Doc Name
Letter & Application
From
New Elk Coal Company
To
DRMS
Type & Sequence
RN6
Email Name
LDS
SB1
Media Type
D
Archive
No
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NEWEL -2 OP ID: MW <br />'4`.°RO' CERTIFICATE OF LIABILITY INSURANCE <br />DATE 10104/201 Y1� <br />10104!2013 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />SRTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />'LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement (s). <br />PRODUCER Phone: 606 -329 -2200 <br />Peoples Insurance Agcy - Ashland <br />PO Box 991 Fax: 606325 -7787 <br />Ashland, KY 41105 <br />J. Michael Wellman <br />cNOAMNTEA:CT <br />PHONE FAX <br />c No Ax No): <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />NAIC 0 <br />INSURERA: Great Midwest Insurance Co <br />18694 <br />INSURED New Elk Coal Co. LLC <br />12250 Highway 12 <br />Weston, CO 81091 <br />INSURERB:Star Insurance Company <br />09/23/2013 <br />02/07/2013 <br />-INSURER C: RLI Insurance Co. <br />EACH OCCURRENCE <br />INSURER D: Liberty Insurance Underwriters <br />19917 <br />INSURERE:lmperium Insurance Company <br />35408 <br />INSURER F <br />PERSONAL & ADV INJURY <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <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 BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />M <br />MMIDDfYYYY <br />LIMITS <br />A <br />D <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE I—XI OCCUR <br />X Railroad Liab <br />GL0011077 -02 <br />RRHV210853 <br />09/23/2013 <br />02/07/2013 <br />04/24/2014 <br />02/07/2014 <br />EACH OCCURRENCE <br />$ 1,000,00 <br />PREMISES Ee occurrence <br />$ 100,00 <br />MED EXP (Any one person) <br />$ 5,00 <br />PERSONAL & ADV INJURY <br />$ 1,000,00 <br />NERAL AGGREGATE <br />$ 2,000,00 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />X POLICY PRO LOC <br />EPRODUCTS - COMP/OP AGG <br />$ 2,000,00 <br />R Liab <br />$ 10,000,00 <br />AUTOMOBILE <br />H <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS AUTOS NON-OWNED <br />AUTOS <br />EOM WEBDtSINGLE LIMIT <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />B <br />X <br />UMBRELLA LIAS <br />EXCESSLIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />SLSLXNR03000012 <br />09/23/2013 <br />04/24/2014 <br />EACH OCCURRENCE <br />$ 4,000,00 <br />AGGREGATE <br />$ <br />DED I X I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED' El <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />WCSTATU- I OTH- <br />LIMITS <br />E L EACH ACCIDENT <br />$ <br />E L DISEASE - EA EMPLOYEE <br />$ <br />E L DISEASE - POLICY LIMIT <br />$ <br />A <br />D <br />xcess Liability <br />allroad Property <br />CX00000021 -02 <br />PPNY2145874 <br />09/23/2013 <br />02/07/2013 <br />04/24/2014 <br />02/07/2014 <br />X S Liab 5,000, <br />RR Prop 10,000,00 <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) <br />Golden Eagle, Lorencito, and New Elk Mines. <br />COLOR-3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Colorado Div of Reclamation, <br />Mining, 8� Safety ACCORDANCE WITH THE POLICY PROVISIONS. <br />1313 Sherman Street AUTHORIZED REPRESENTATIVE <br />Room 215 <br />I Denver, CO 80203 <br />(9 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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