2016-10-28_PERMIT FILE - C2010089A (29)

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DATE '°'`,,,�R�® CERTIFICATE OF LIABILITY INSURANCE 7/30/2015 Y) 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 'LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .cPRESENTATIVE 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 NAME: CT Lacey Skali.cky Hays Companies PHONEjAlc No e., (515) 602-3006 FAX Ruan Center, 666 Grand Avenue E-MAIL 17th Floor INSURERS AFFORDING COVERAGE NAIC S Des Moines IA 50309 INSURER A:Lexin ton Insurance Company INSURED INSURER B:National Union Fire Ins. Cc Western Fuels -Colorado, LLC INSURER C: 1100 West 116th Ave Westminster CO 80234 COVERAGES CERTIFICATE NUMRER-2015 - 2016 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 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. INSR LTR TYPE OF INSURANCEJunima ADDLSUBR POLICY NUMBER POLICY MM/DDIYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PR ISE a occurrence $ 100,000 X COMMERCIALGENERAL LIABILITY A CLAIMS -MADE a OCCUR 021396066 /1/2015 /1/2016 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 2,000,000 $ 1-1 POLICY JPrT PRO -X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acaden $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per a xiden NON -OWNED HIRED AUTOS AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 B EXCESS LIAB CLAIMS -MADE DEC) I X I RETENTION$ $10,000 $ BES4160099 /1/2015 /1/2016 WORKERS COMPENSATION WC STATUORYLIMT- OTH- ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERiEXECUTIVEr7 E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) EL DISEASE - EA EMPLOYE $ N yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of insurance as respects New Horizon North Mine in Nucla, CO (Permit #C-2010-089) and New Horizon Mine (Permit #C-81-008). Includes explosives. Colorado Mined Land Reclamation Board Division of Reclamation, Mining & Safety 1313 Sherman Street, 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. AUTHORIZED REPRESENTATIVE aures Hays/ANAPOL `?% 2 ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 minn51 n1 Tho ar`ewn normo anA Innn aro roniefororl mnrlre of ar npn