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Client#: 121429 1*111IN14;7_1 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 9/08/2015 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 WANED, 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 HUB International Ins Svcs Inc NAME Betsy Mease PH Alc' o E>n : 303 382-5177 866 243-0727 A1C No: 2742 Crossroads Blvd ADDRESS: betsy.mease@hubintemational.com Grand Junction, CO 81506 888 245-8011 INSURE SI AFFORDING COVERAGE NAICA INSURERA• EMC Insurance Companies 21415 INSURED CB Minerals Company, LLC c/o Angela Poulton 8717 Delgany Ave #215 Playa Del Rey, CA 90293 INSURER B: INSURER C INSURER D INSURER E INSURER F: CA Resident License #0757776 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 BY PAID CLAIMS. L R TYPE OF INSURANCE ISR U POLICY NUMBER ppRppE�LDUCED (MMY) (MM M% LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X PD Ded:500 X 1 D1528916 I�Q v 7/12/2015 07112/2016 EEAACMHp�OECTCURRREENCE $11,000,000 PREMISES Ea oNcq�irr $100,000 MED EXP one person $5,000 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER.�`` POLICY PRO- LOC PRODUCTS - COMP/OP AGG 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDSCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS ��O\ Q ` O�� S \ o�I O �, NGLE LIMIT (Eaaccident) BODILY INJURY (Per person) $ BODILY INJURY (Par accident) $ PROPERTY DAMAGE $ Paracddent $ UMBRELLA LIABOCCUR EXCESS LIAR HCLAIMS-MADE O`��5� �ri\n9& `v` EACH OCCURRENCE $ AGGREGATE $ DED T7 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' UABL.rrY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below N f A WC STATU-OTH- E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IF more space Is required) Project: DMG permit # C84065 Coal Ridge No. 1 Mine, East of New Castle CO, South of River State of Colorado Division of Minerals and Geology and NCIG Financial Inc are additional insureds for General Liability. State of Colorado Division of Minerals and Geology 1313 Sherman St Room 215 Denver, CO 80203-2273 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 © 1988-2010 ACORD CORPORATION. All rights reserved Arnon 911: I'M41 AM . _s . Tl... Armen ........... A I................:..a... A .o...A..9 Armon