2016-12-02_PERMIT FILE - C1984065A

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r`lien4i!- 191A94 r- RMINFRA Exhibit 2.7 -1 ACORD. CERTIFICATE OF LIABILITY INSURANCE M/DD/ YYYY) 9118 DATE (MMIDDI 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 HUB International Ins Svcs Inc ICT N ME: Shannon Ulrich : 3O3 C N I" - 38-5 A/C No : 866- 243 -0727 2742 Crossroads Blvd E-MAIL shannon.ulrich@hubinternational.com Grand Junction, CO 81506 888 245 -8011 INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: EMC Insurance Companies 25186 INSURED CB Minerals Company, LLC c/o Angela Poulton 8717 Delgany Ave #215 a Del Rey, CA 90293 Playa y INSURER B: $6,000 INSURER C: $500,000 INSURER D INSURER E $1,000,000 INSURER F: CA License #0757776 PRODUCTS - COMP /OP AGG 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 REDUCED BY PAID CLAIMS. �TRR TYPE OF INSURANCE NSR WVD POLICY NUMBER MWDIDY EFF MWLDICY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Ex-] OCCUR X PD Ded:500 X 1X1528614 711212013 07/1212014 EACH OECCCUR��RENCE $500000 PREMISES EaEo"ccTuErrence $100 1 000 MED EXP (Any one person) $6,000 PERSONAL & ADV INJURY $500,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG $1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAR OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFICER/PMEMBER EXCLUDED ECUTIVE❑ (Mandatory In NH) If yes, describe under DESCRIPTI N OF OPERATIONS below N / A WC STATU- I OTH- R EL EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) DMG permit # C84065- Coal Ridge No. 1 Mine, East of New Castle, CO, South of River NCIG Financial Inc. & CO Division of Minerals & Geology are named as additional insured with respects to general liability. Division of Reclamation, Mining SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN & Safety ACCORDANCE WITH THE POLICY PROVISIONS. 1313 Sherman Street Room 215 Denver, CO 80203 -2273 AUTHORIZED REPRESENTATIVE -1i:" ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S242�331IM2292958 SB04