2014-06-09_GENERAL DOCUMENTS - C1981041

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L= -1 Cl B / -o ql rY) ro ACORN° CERTIFICATE OF LIABILITY INSURANCE 11 6/1/2015 DATE(MM /DD/YYYY) 1 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 r: C F_JVED p NAME: HO E FAX Ext : No E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED Rhino Resource Partners, LP 201 1340392 PO Box 1169 �� ("J Pikeville KY 41502 - h of eteClam aflon. .3 � sa" INSURER B: LeXln ton Insurance Company 19437 INSURER C: 6/1/2015 INSURER D: 1,000,000 INSURER E: DAMAGE TO RENTED PREMISES Ea occurrence INSURER F: COVERAGES RHIRE CERTIFICATE NUMBER: 11318168 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 }� Y N GI.1903168 6/1/2014 6/1/2015 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PE FX LOC HOTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUTOS N AUTODULED NON -OWNED HIRED AUTOS AUTOS N N CA5775970 6/1/2014 6/1/2015 Ee eBINEDtSINGLE LIMIT $ 1 000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N N 013136615 6/1/2014 6/1/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ Prod.- Comp /Op $ 5,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRO PRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE I PER OTH- STATUTE E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXXXXX E.L. DISEASE - POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) NAMED INSURED INCLUDES MCCLANE CANYON MINING, LLC. SNOWCAP COAL COMPANY, INC., A DELAWARE CORPORATION, IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT. RE: COAL REFUSE DISPOSAL CERTIFICATE HOLDER CANCELLATION 11318168 DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 ACORD 25 12014/011 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 n1 The ACORD name and logo are registered marks of ACORD N_ All rinhts rPSPrvPrl