2014-02-12_GENERAL DOCUMENTS - C1981038

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~+1 BOWIE -1 OP 1D. SH AROI CERTIFICATE p_ F LIABILITY INSURANCE DATE(MMIDDlYYYYI 02/11/14 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 502. 493 -2370 NAME Central Insurance Services — - -- - 4630 Tayiorsville Rd 502-493-2320[-MAIL o. FAX rrol: Louisville, KY 40220 E -MAIL Robert P. Wessel, Jr. CPCU ADDRESS INSURED Bowie Resource holdings, LLC Jim Wolff 6100 Dutchman's Lane Ste 902 Louisville, KY 40205 r- nvFRAAFS CERTIFICATE NUMBER: INSURER(S) AFFORDING COVERAGE NAIC p INSURERA: National Union Fire 19445 INSURER a:LexIp ton Insurance Company t- -- INSURER C: INSURER 0: INSURER E : REVISION NIIMRr -R- THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ._ --. - ....__ — .-- ..._ --. ,....._ .... _ iADDL SUER ._... _- -- - -- .— POLTCYEFPvyp01JCY EXP ' 1LTR TYPE Of INSURANCE POLICY NUMBER - MMIoD1YYYY L MMIDDIYYYY LIMITS - GENERAL LIA1311JY i EACH OCCURRENCE S 2,000,00 . . ....._... A X COMMERCIAL GENERAL LIABILITY GL 6576428 02/01/14 02/01115 ' PREMI ES_(Ea cNTED PREMISES _(Ea o=rrarcaj 5 1+000,00 CLAIMS -MADE f X J OCCUR MED EXP (Any one person) 5 1 Dr00 PERSONAL & ADV INJURY S 2,000,00 I I GENERAL AGGREGATE $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS • COMPIOP AGG S 2,000,00 SRO- ._ ... LC POLICY - Emp Ben. - $ - 11000e00 AUTOMOBILE LLASILITY COMBINED SINGLE LIMIT y (Ea acc +dam) S . _ I ANY AUTO j I BODILY INJURY (Per personl S - ALL OWNED SCHEDULED I I r BODILY INJURY (Per auedenl} S I - ,AUTOS NON -OWNED PROPERTY DAMAGE S { _ HIRED AUTOS_' AUTOS I Peraccidenj. _ _ X UMBRELLA IIJAB X "; OCCUR EACH OCCURRENCE 5 10,000,00 1q ' ExcessuAB CLAIMS-MADE I BE12816143 02/01114 02/01115 i (AGGREGATE S — OED X ' RETENTIONS 100001 - ---- -- S - - -_._. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU• i OTH- . TORY LIMITS .- _ -__- ER_ ANY PROPRIETORIPARTNERIEXECUTIVE Y !, E OFFICEWMEMBER EXCLUDED? NIA E L EAGH ACCIDENT S - {Mandatory in NMI I E L- 01SEASE - EA EMPLOYEE S If ppea. deSCr unde E7ESCRIPTION ib9 OF r OPERATIONS bolow - E L DISEASE - POLICY LIMIT $ B iExcess Umbrellla 025267252 02101114 02/01115 EXCesS 15,000,00 'Umbrella i DESCR)PTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORO 101, Additional Remarks Schedule, If mare space Is requirad) Evidence of Insurance as respects to Bowie #2 Mine Permit #C1996083 and Bowie #1 Mine Permit #C1981038. General Liablity policy provides protection for use of explosives. The General Liability and Umbrella policies include an endorsement providing that 30 days notice of cancellation (or coverage changa)which will be furnished to the certificate holder by the carrier. STATECO State Of Colorado Dept of Natural Resource, Div of Reclamation Mining & Safety 1313 Sherman St, Room 215 Denver, CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r Robert�l,er. �� f O 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/05) The ACORD name and logo are registered marks of ACORD