2017-06-09_GENERAL DOCUMENTS - C2010088

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�1 ,acoRO` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/1/2018 1 5/31/2017 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 have ADDITIONAL INSURED provisions or 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). CONTCT PRODUCER Lockton Companies NAME, ONE FA Three City Place Drive,Suite 900 ac No, o Ext): A/c No): St.Louis MO 63141-7081 E-MAIL (314)432-0500 `' ADDRESS: ` INSURERS AFFORDING COVERAGENAIC# INSURER A: National Union Fire Ins Co Pitts.PA 19445 INSURED CAM Colorado,LLC X14 INSURER B: Lexinpton Insurance Company 19437 1340392 PO Box 1169 Pikeville KY 41502 ��. el\a 011- INSURER C: INSURER D URER E: . ,rg SaQ2� INSURER F: COVERAGES RHTaE 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 INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 3261614 6/1/2017 6/1/2018 EACH OCCURRENCE 2,000,000 CLAIMS-MADE Fx I OCCUR DAMAGE TO RENTED 2,000,000 PREMISES Ea occurrence MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY JECT �LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY N N 3244251 6/1/2017 6/1/2018 Ea acccldentSINGLE LIMIT $ 2 000 000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX AUTOS ONLY SCHEDULED BODILY INJURY(Per accident $ XXXXXXX AUTS HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX B X UMBRELLA LIABX OCCUR N N 013136615 6/1/2017 6/1/2018 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 51000,000 DED I I RETENTION$ Prod Comp Ops $ 5,000,000 WORKERS COMPENSATION STATUTE OT AND EMPLOYERS'LIABILITY Y/N NOT APPLICABLE �V ANY PROPRIETOR/PARTNER/EXECUTIVE F__] ER N/A E L EACH ACCIDENT $ XXXXXXX OFFICERIMEMBER EXCLUDED? `7X V (Mandatory in NH) E L DISEASE-EA EMPLOYEE XXXXXX es,describe under DIf ESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12139435 AUTHORIZED REPRESENTATIVE STATE OF COLORADO DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN ST. RM#215 DENVER CO 80203 _P1 ACORD 25(2016/03) ©1988_-' (T0RD_C0R70_RArMN.All rights reserved The ACORD name and logo are registered marks of ACORD