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2016-07-15_GENERAL DOCUMENTS - C1996084
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2016-07-15_GENERAL DOCUMENTS - C1996084
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Last modified
4/27/2018 3:21:16 PM
Creation date
7/25/2016 10:37:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
7/15/2016
Doc Name
Certificate of Insurance
From
New Elk Coal Company, LLC.
To
DRMS
Permit Index Doc Type
Insurance
Email Name
DIH
RAR
Media Type
D
Archive
No
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NEWEL -2 OP ID: MW <br />`'1� CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM DDYYYY) <br />A <br />06/08/2016 <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 <br />Peoples Insurance Agcy -Ashland <br />CONTACT J. Michael Wellman <br />NAMEPNONE <br />PO Box 991 <br />.606-329-2200 Fax <br />Arc Ne ac No 6O6-325.7787 <br />Ashland, KY 41105 <br />E-MAIL - -- <br />J. Michael Wellman <br />ADDRESS: — — <br />----_-IN SI AFFORDING COVERAGE �NAIC# <br />--..— <br />INSURERA:Great Midwest Insurance Co 18694 <br />INSURED New Elk Coal Co. LLC <br />INSURER e:James River Insurance Compares <br />GGEEN'L AGGREGATE LIMIT APPLIES PER: <br />12250 Highway 12 <br />: <br />INSURER C — - _ <br />Weston, C081082 <br />—.- <br />INSURER D:RLI Insurance Co. <br />13056 <br />INSURER E: <br />INSURER F--- <br />$ 2,000,09 <br />- <br />COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER• <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 />TYPE OF INSURANCEIYYYY) LIMITS <br />IR LT� — - ADDL B POLICY NUMBER MOLT V EFF MM ODTWYV � <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />_J CLAIMS -MADE LJ OCCUR <br />Colorado Div of Reclamation, <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />GL00036581.02 <br />04124/2016 <br />04/24/2017 <br />EACH OCCURRENCE <br />$ 1,090,06 <br />PREMISES Eo.nenpe <br />$ 100,09 <br />MED EXP (Any one person) <br />$ 5,00 <br />X <br />,._ <br />PERSONAL S ADV INJURY <br />GENERAL AGGREGATE <br />$ 1,000_09 <br />$_ 2,000,90 <br />GGEEN'L AGGREGATE LIMIT APPLIES PER: <br />/L POLICY PRO - <br />LOC <br />$ 2,000,09 <br />PRODUCTS-COMP/OPAGG <br />OTHER: <br />' $ <br />AU <br />AUTOMOBILE AUT LIABILITY <br />ANY AUTO <br />Ea aB�eDISINGLE LIMIT <br />Ir (Ea <br />$ <br />INJURY (Per person) <br />—_ <br />$ <br />ALL OWNED SCHE ULED <br />AUTOS J AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />$ <br />_ <br />BODILY INJURY Per sociders <br />( ) <br />PROPERTY OAMAGE <br />Per ac <br />is <br />B <br />X <br />UMBRELLA LIAR X <br />EXCESS <br />OCCUR <br />CLAIMSWADE <br />100059375-1 <br />0412412016 <br />04/24/2017 <br />EACH OCCURRENCE $ _ 4,000,0010 <br />AGGREGATE_;.$ 4,000,09 <br />DED RETENTION$ O <br />S <br />WORKERSCOIAPENSATION <br />AND EMPLOYERBLIABILITY Y/NSTATUTE <br />R/ <br />ANY PROPRIETOPARTNER/EXECUTIVE <br />OFFICE"EMBER EXCLUDED? <br />(Mandatory In NH) <br />N/A <br />i <br />PER OTH- <br />ER <br />_. <br />EL. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />_ <br />If yea, describe under <br />DESCRIPTIONOFOPERATIONSbeb <br />- - <br />E.L. DISEASE -POLICY LIMIT $ <br />A <br />iExeess Liability <br />CX00047356-01 <br />04/24/2016 <br />10412412017 Excess 5,000,00 <br />D <br />Property <br />IM0300614 (RAIL TRACK) <br />04124/2016. <br />0412412017 Rail Trek 190,00 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, nosy be aunchad R mora apace Is nequked) <br />Re: Golden Eagle, Lorencito, and New Elk Mines. <br />CERTIFICATE HOLDER CANCELLATION <br />COLOR -3 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Colorado Div of Reclamation, <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Mining, & Safety <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1313 Sherman Street <br />AUTHORIZED REPRESENTATIVE <br />Room 215 <br />Denver, CO 80203 <br />ACORD 25 (2014/01) <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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