2014-06-09_GENERAL DOCUMENTS - C1980004

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Z-71- ACORN° CERTIFICATE OF LIABILITY INSURANCE �� 6/1/2015 DATE (MM /DD/YYYY) 5/28/2014 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 Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 RECEIVEp GO TA T NAME: FAX A/c No, Ext : A/C No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED Rhino Resource Partners, LP 1340392 PO Box 1169 2014 Pikeville KY 41502 Divisioe Of Recta Mining & Safety tfQn' INSURER B : Lexin on Insurance Company 19437 INSURER C 6/1/2015 INSURER D: 1,000,000 INSURER E : PREMISES (E. oNrcTur ence INSURER F COVERAGES RHIRE CERTIFICATE NUMBER: 11318132 REVISION NUMBER: XXXXXXX 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR N N GL1903168 6/1/2014 6/1/2015 EACH OCCURRENCE 1,000,000 PREMISES (E. oNrcTur ence 1,000,000 MED EXP An one person) 10,000 PERSONAL & ADV INJURY $ 1,000,000 OLICY JECOT- LOC PoTHER AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 PRODUCTS - COMP /OP AGG $ 2 000 000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUTS OWNED AUTOSULED NON -OWNED HIRED AUTOS AUTOS N N CA5775970 6/1/2014 6/1/2015 (CO aBINEDtSINGLE LIMIT $ 1 000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ }(�'�{}{}{�'�{ PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB OCCUR N N 013136615 6/1/2014 6/1/2015 EACH OCCURRENCE $ 5,000,000 HCLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION $ Prod.- Comp /Op $ 5 000 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A NOT `APPL'ICABL'E PER OTH- STATUTE E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE- EA EMPLOYEE X1111A11AA E.L. DISEASE - POLICY LIMIT V V V XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) NAMED INSURED INCLUDES MCCLANE CANYON MINING, LLC. MCCLANE CANYON MINE, PERMIT NO. C- 1981 -004 11318132 DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 ACORD 25 (2014/011 I.ANL,rz LLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0)1988 -2"4+ 'ACORD CORPORATTON. All rights reserved The ACORD name and logo are registered marks of ACORD