2014-07-31_GENERAL DOCUMENTS - C1980007

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RECEIVED ii u 3 12014 A C °® CERTIFICATE OF LIABILITY INSURANCE °A7 /23 /2 14 15 7/23/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT U � D BY THE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVE 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). CONTACT PRODUCER Lockton Companies NAME: FAX Three City Place Drive, Suite 900 AIC, No, EXt : A/C, No): St. Louis MO 63141 -7081 E -MAIL (314) 432 -0500 ADDRESS: INSURED Mountain Coal Company LLC 1369402 P.O. Box 591 Somerset CO 81434 INSURER INSURER National Union Fire Ins Co Pittsburgh PA GES ARCCO CERTIFICATE NUMBER: 12471681 RLVISIUN NUMt3LK: A1illARilA COVERA 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. INTSRR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N GL0936111 7/31/2014 7/31/2015 EACH OCCURRENCE s 5,000,000 PREMISESOEa oNcur ence 2,000,000 XCU & Subsidence PD X MED EXP An one erson 10,000 X Policy Gen AGG $25M PERSONAL 8 ADV INJURY $ 5,000,000 _ L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1 O 000 000 PRODUCTS - COMP /OP AGG $ 5 000 000 POLICY JECOT- FX LOC POTHER $ AUTOMOBILE LIABILITY ANY AUTO AUTS OWNED SCHEDULED NON -OWNED HIRED AUTOS AUTOS T APj,'j ilk MAUR S Notary Public -Notary Se tate of Missouri, Ste, Genevie Commission #1341717 My Commission Expires July EM I a County , 2017 COMBINED acccidentSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT LIC LE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A OT APPLICABLE PER OTH- STATUTE E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXXXXX E.L. DISEASE - POLICY LIMIT I.% XXXXXXX I yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) COVERAGE IS INCLUDED FOR SURFACE COAL MINING AND RECLAMATION OPERATIONS INCLUDING THE USE OF EXPLOSIVES. C -80 -007 WEST ELK MINE VCR I Ir it m I C rIULIJCr[ ....., . _...._....._ - -_ 12471681 COLORADO DEPT. OF NATURAL RESOURCES DIVISION OF RECLAMATION, MINING & SAFETY 1313 SHERMAN STREET, 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. ACORD 25 (2014/01) VIU66 -Lul4 AtIUKU t URrURAI IUrv. tau nyl lw Icacl vcu The ACORD name and logo are registered marks of ACORD