2015-08-03_GENERAL DOCUMENTS - C1980007

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ACORN° CERTIFICATE OF LIABILITY INSURANCE 7/31/2016 DATE(MM/DD/YYYY) 7/29/2015 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: A/C, No, Ext): AIC, No E-MAIL ADDRESS: X COMMERCIAL GENERAL LIABILITY (�ECEiVED INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 7/31/2015 INSURED Mountain Coal Company LLC 1369402 P.O. Box 591 AUG X13 2015 Somerset CO 81434 INSURER B: INSURER C Division W - lamation, Nlin(ng &Safety INSURER D INSURER E : INSURER F: COVERAGES ARCCO CERTIFICATE NUMBER: 12471681 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 N N GL0936111 7/31/2015 7/31/2016 EACH OCCURRENCE 5,000,000 DAMAGE TO RENTED 2,000 000 PREMISES Ea occurrence CLAIMS -MADE � OCCUR MED EXP (Any oneperson) 10,000 X XCU & Subsidence PD X Policy Gen AGG $25M PERSONAL & ADV INJURY $ 5,000,000 GEN -L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 10,000,000 POLICY PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER AUTOMOBILE LIABILITY ANY AUTO NOT APPLICABLE COEa 8001EDtSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXXXXXX AUTOS NED SCHEDULED NON-OWNEDNotary HIRED AUTOS AUTOS -----Stephanle L. PUbliC - STATE OF Lem Dearman otary Seal ISSOURI BODILY INJURY (Per accident $UTS XXX LXX PROPERTY DAMAGE $ XXX � Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE NOS T �IOn EXplre ommission :November it14966528 12, 2018 EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED (Manes,datory in NH) de� be under If DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE - PER OTH- STATUTE E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE XXXXXXX 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) COVERAGE IS INCLUDED FOR SURFACE COAL MINING AND RECLAMATION OPERATIONS INCLUDING THE USE OF EXPLOSIVES C-80-007 WEST ELK MINE 12471681 COLORADO DEPT. OF NATURAL RESOURCES DIVISION OF RECLAMATION, MINING & SAFETY 1313 SHERMAN STREET, ROOM 215 DENVER CO 80203 VAI %1r_L. AI IVN JGG t1LLULA1111CUL 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) ©1988-2014 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD