2015-06-02_GENERAL DOCUMENTS - C1981004

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ACORO• CERTIFICATE OF LIABILITY INSURANCE 6/1/2016 DATE(MM/DD/YYYY) 5/28/2015 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 CONTACT NAME: FA A/c No, Ext): A/c No): E-MAIL ADDRESS: IN R AFFORDING NAIC p INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED CAM Colorado, LLC 1340392 PO Box 1169 Pikeville KY 41502 INSURER B: Lexington Insurance Company 19437 INSURER C INSURER D: INSURER : INSURER F: CnVERAGFS R141RR CERTIFICATE NUMBER: 12139435 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 TYPE OF INSURANCE ADDL IRSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE x OCCUR Y N GL 1903168 6/1/2015 6/1/2016 EACH OCCURRENCE 1,000,000 PREMISES EaEoNcouErrence 1,000,000 MED EXP (Any oneperson) 10,000 PERSONAL & ADV INJURY $ 1,000,000 FG—ENT AGGREGATE LIMIT APPLIES PER POLICY JE FX LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUTOS NED AUTOSULED NON -OWNED HIRED AUTOS AUTOS N N CA5775970 6/1/2015 6/1/2016 Ea accclN entSINGLE LIMIT $ 1000,000 BODILY INJURY (Per person) $ YYYYYM BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE $ XXX�CXX Per aCCZI $ XXXXXXX B X UMBRELLA LIABX EXCESS LIAB OCCUR CLAIMS -MADE N N 013136615 6/1/2015 6/1/2016 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5:000:000 DED I I RETENTION $ Prod Comp Ops $ 5,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECLITIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS beiow N / A NOT APPLICABLE PER OTH- STATUTE I I rv�� 'VV E L EACH ACCIDENT $ 11)OLX XX vvvv E L DISEASE - EA EMPLOYEE XXXXXXX vv� E L DISEASE - POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: UNIT TRAIN LOADOUT DRMS PERMIT # C-2010-088. STATE OF COLORADO RECLAMATION AND SAFETY IS ADDITIONAL INSURED UNDER GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. 12139435 STATE OF COLORADO DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN ST. RM#215 DENVER CO 80203 LycV Lei 4 fi Wa11Ilei zI 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 ACORD 25 (2014/01) ©198830'f'Acc The ACORD name and logo are registered marks of ACORD 4r All rights reserved