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A�ORO CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM /DD /YYYY) <br />06/04/2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. 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 <br />Aon Risk services, Inc of Florida <br />222 Lakeview Avenue <br />CONTACT <br />NAME: <br />(A/C.. NN . Ext): C866) 283 -7122 FAX No.): (800) 363 -0105 <br />E -MAIL <br />suite 510 <br />West Palm Beach FL 33401 USA <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: Zurich American Ins CO <br />16535 <br />Terror Creek LLC <br />INSURER B: American Guarantee & Liability Ins CO <br />26247 <br />1601 Forum Place <br />INSURER C: <br />& condi <br />suite 1400 <br />West Palm Beach FL 33401 -8101 USA <br />INSURER D: <br />$1,000,000 <br />INSURER E: <br />MED EXP (Any one person) <br />$10,000 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570054013819 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. Limits shown are as requested <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />AUIJ <br />INSD <br />WVD <br />POLICY NUMBER <br />MM /DD /YYYY <br />MM /DD /YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />GLO <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />General Liablity <br />SIR applies per policy terns <br />& condi <br />ions <br />PREMISES Ea occurrence <br />$1,000,000 <br />MED EXP (Any one person) <br />$10,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />$5,000,000 <br />PRO-F_X] <br />POLICY ❑ <br />JECT LOC <br />PRODUCTS - COMP /OP AGG <br />$2,000,000 <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />BAP 9265950 -04 <br />Business Automobile cover <br />06/01/2014 <br />06/01/2015 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$1,000,000 <br />BODILY INJURY ( Per person) <br />AI NY AUTO <br />X <br />BODILY INJURY (Per accident) <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />B <br />X <br />UMBRELLA LAB <br />X <br />OCCUR <br />AUC926593704 <br />06/01/2014 <br />06/01/2015 <br />EACH OCCURRENCE <br />$25,000,000 <br />EXCESS LAB <br />CLAIMS -MADE <br />umbrella <br />AGGREGATE <br />$25,000,000 <br />DED I X RETENTION $10, 000 <br />WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR / PARTNER /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />❑ <br />N/ A <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: Permit number C - 1983 -059 " Terror Creek Loadout " <br />Division of Reclamation, Mining and safety is included as Additional Insured as required by written contract, but limited to <br />the operations of the Insured under said contract, per the applicable endorsement with respect to the Auto, GL and UMB policy. <br />CERTIFICATE HOLDER <br />CANCELLATION <br />©1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BE]THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE <br />POLICY PROVISIONS. <br />Division Of Reclamation, Mining <br />AUTHORIZED REPRESENTATIVE <br />and safety <br />1313 Sherman Street, Room 215 <br />Denver CO 80203 USA <br />©1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />