2014-02-20_GENERAL DOCUMENTS - C1981019

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A °� CERTIFICATE OF LIABILITY INSURANCE D02/11 IO024 oa /il /ao14 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(les) 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 endorsemen s . PRODUCER 1 -612- 333 -3323 CONTACT Skalicky Hays Companies PHONE FAX 515- 802 -3005 AI •515 -802 -3032 E-MAIL lskalic ha atom anies.com 80 South 8th Street INSURER(S) AFFORDING K: NAR Suite 700 Minneapolis, NN 55402 INSURER A: LEXINGTON INS CO 19437 INSURED INSURER B: NATIONAL UNION FIRS INS CO OF PITTS 19445 INSURER C COLOWYO COAL CO3CPANY L.P. INSURER 0: 1100 West 116th Avenue INSURER E: MED EXP one n Westminster, CO 80234 CLAIMS -MADE a OCCUR INSURER F: COVEkAGEc CERTIFICATE NUMBER: 38437871 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TR TYPE OF INSURANCE POLICY NUMBER POLICY - POLICY n LSARS A GENERAL LIABILITY 021396066 08/01/1 08/01/14 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABIUTY DAMAGE TO RENTED PREMISES $ 100,000 MED EXP one n $ CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG S 2.000,000 S POUCY PRO. X LOC JPCT A LIABILITY COMBINED SINGLE LIMIT a ' BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per aalderd) $ ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (POE Accideral S $ H X UMBRELLA LIAB Y OCCUR BE 12816171 Oa /01 /I 08/01/14 EACH OCCURRENCE $ 25,000,000 AGGREGATE s 25, 000, 000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 s WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIMCUrIVE _,W E.L. EACH ACCIDENT S E.L. DISEASE • EA EMPLOYE S OFFS datator In BNB EXCLUDED'1 NIA A E. L. DISEASE -POLICY LIMIT I S Ifyyeess desmbaunder DESCRIPTION OF OPERATIONS llekw DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space In required) Evidence of Insurance as respects Coloxyo Coal Company, L.P. (Permit #C -81 -019). Includes use of Explosives Colorado Mined Land Reclamation Mined Land Division 1313 Sherman Street, RX 215 , CO 80203 USA 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 (D IEtUb -ZUTU AL;UMU L;UKrUKAIIUN. AH ngms reserves. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD TOI=tead 38437871