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ACORO' CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) 6/1/2017 1 5/27/2016 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(les) 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 CompaniesCONTACT X COMMERCIALGENERALLIABILITY CLAIMS -MADE � OCCUR Three City Place Drive, Suite 900 St. Louis MO63141-7081 (314) 432-0500 H(AJNo Ext): AX AIC No E-MAIL 6/1/2016 6/1/2017 AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pitts. PA 19445 MED EXP (Any oneperson) 10,000 INSURED CAM Colorado, LLC INSURER B: Lexin on Insurance Comoany 19437 1340392 PO Box 1169 Pikeville KY 41502 INSURER C: PRODUCTS -COMP/OP AGG $ 2,000,000 1 $ INSURER D: JNISURERE: N INSURER F: CA5775970 COVERAGES RHTRE 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 TYPE OF INSURANCE ADL IN SUBR POLICY NUMBER POLICY EFF (MAID POLICY EXP MM D LIMITS rA X COMMERCIALGENERALLIABILITY CLAIMS -MADE � OCCUR Y N GL1903168 6/1/2016 6/1/2017 EACHOCCURRENCE s 1,000,000 DAMAGE R MISES ERENTED oacu rents 1,000,000 MED EXP (Any oneperson) 10,000 DENVER CO 80203 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PO1-7 ECOT LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 1 $ A AUTOMOBILE LIABILITY X ANY AUTO AUTOS OWNED SCHEDULED HIRED AUTOS ION -OWNED N N CA5775970 6/1/2016 6/1/2017 COMBINBDSINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXY7X_XXX BODILY INJURY (Per accident $ XXXXXXX PTOS ROPERTY DAMAGE $ XXXXXXX $XXXXXXX B UMBRELLALWB EXCESS LIAR �{ OCCUR CLAIMS -MADE N N 013136615 6/1/2016 6/1/2017 EACH OCCURRENCE $ 5000000 AGGREGATE $ 5:000:000 DEO RETENTION $ r0�FFICEWMFIWISER Prod Comp Ops $ 5,000 000 RKERS COMPENSATION D EMPLOYERS' LIABILITY Y / N ANY ETORIPACLUDE EXECUTIVE EXCLUDED ❑ (Myymdatory m NH) If DESGesRIPTIONN Obe FOPERATIONSbelow N / A NOT APPLICABLE PER OTH- STATUTE E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE XXXXXXX EL DISEASE -POLICY LIMIT S XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached If moro 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 5) 'IFICATE HOLDER ttaN DMS�oN o �D � 12139435 M�NIN� STATE OF COLORADO DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN ST. RM#215 DENVER CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. op ACORD 25 (2014/01) @19883Q1iFAC-ORD COWORATI'ON. All rights reserved The ACORD name and logo are registered marks of ACORD