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ACCIR"' CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) <br />lka./ 7/31/2016 <br />1 7/29/2015 <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(les) 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 Lockton Companies <br />Three City Place Drive, Suite 900 <br />St. Louis MO 63141-7081 <br />(314) 432-0500 <br />NAME: <br />AX <br />A/C No, Ext): A/C, No): <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 <br />INSURED Mountain Coal Company LLC <br />1369402 P.O. Box 591 <br />Somerset CO 81434 <br />INSURER B : <br />INSURER C <br />INSURER D <br />INSURER E: <br />INSURER F: <br />Cr1VFRAr,FC AR(171 CERTIFICATE NIIMRFR• 174716R1 RFviSlrfN IJIIMRFR• XXXXXXX <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. <br />INSR <br />TR <br />TYPE OF INSURANCE <br />ADDL <br />$ <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />(MM/DDfYYYYI <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />N <br />N <br />GL0936111 <br />7/31/2015 <br />7/31/2016 <br />EACH OCCURRENCE $ 5,000,000 <br />DAMAGE TO RENTED 2,000 OOO <br />PREMISES Ea occurrence <br />CLAIMS -MADE � OCCUR <br />MED EXP (Any oneperson) 10,000 <br />X XCU & Subsidence PD <br />X Policv Gen AGG $25M <br />PERSONAL & ADV INJURY $ 5,000,000 <br />PGEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY JE �LOC <br />GENERAL AGGREGATE $ 1O 000 000 <br />PRODUCTS - COMP/OP AGG $ S 000 000 <br />$ <br />OTHER <br />AUTOMOBILELIMIT <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />NOT APPLICABLE <br />Ea MB <br />$ �xxx <br />BODILY INJURY (Per person) $ XXXXJM <br />AUTOS NED AUTOSULED <br />NON -OWNED ED <br />HIRED AUTOS AUTOS <br />-- — ^"" Sfoohanie L. <br />Notary Public - <br />STATE OF <br />eafma0 <br />Notary Seal <br />ISSOURI <br />BODILY INJURY (Per accident $ XXX XXX <br />PROPERTY DAMAGE $XXXXXXX <br />Per accident <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />NOT � <br />�Ttn <br />: November <br />14966528 <br />2, 2018 <br />EACH OCCURRENCE $ XXXX3��X <br />AGGREGATE $ XXXXXXX <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICERWEMBER EXCLUDED <br />(Mandatory in NH) <br />under <br />DESCRIPTc OIf yes N OF OPERATIONS below <br />N / A <br />NOT APPLICABLE <br />\ <br />LtVE.L. <br />PER OTH- <br />STATUTE <br />E.L. EACH ACCIDENT $ XXXXXXX <br />`7Vp�/���p <br />E L. DISEASE - EA EMPLOYEE $ xyxxxxx <br />DISEASE -POLICY LIMIT sxxxxxxx <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />COVERAGE IS INCLUDED FOR SURFACE COAL MINING AND RECLAMATION OPERATIONS INCLUDING THE USE OF EXPLOSIVES. C-80-007 <br />WEST ELK MINE <br />12471681 <br />COLORADO DEPT, OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, ROOM 215 <br />DENVER CO 80203 <br />ACORD 25 1`2014./011 <br />liA1Vl.GLL.A I IUM JOG PiLLdU11111Olil <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2014 ACORD CORPORATION. All rights reserved <br />The ACORD name and loao are reoistered marks of ACORD <br />