2017-06-09_GENERAL DOCUMENTS - C1980004

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ACORO° CERTIFICATE OF LIABILITY INSURANCE 16�i 6/1/2018 FDATE (MMIDDfYYYY) 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(ies) 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). PRODUCER Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314) 432-0500 CONTACT NAME: FAX A/c No Ext): A/C, No): E-MAIL ADDRESS: -INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pitts. PA 19445 INSURED Rhino Resource Partners, LP REC 1340392 PO Box 1169 Pikeville KY 41502 JUN 9 9 2017 INSURER B: Lexington Insurance Company 19437 INSURER C: INSURE D: INSURER E: INSURER F: COVERAGES RH1RE CERTIFRMtCMFl JA90�aAilf32 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSL O LOW 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 INSURANCE ADDL IND SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEOCCUR N N 3261614 6/1/2017 6/1/2018 EACH OCCURRENCE 2,000,000 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 POLICY JE� LOC OTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO SCHEDULED AUTOS ONLY HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N 3244251 6/1/2017 6/1/2018 (COMBINEDSINGLELIMIT $ 21000,000 BODILY INJURY (Per person) $ XX)CyXXX BODILY INJURY (Per accident $ XXXXX XX PROPERTY DAMAGE Per...Qt $XXXXXXX $XXXXXXX B X UMBRELLA LIAB EXCESS LIAB I }( IOCCUR CLAIMS -MADE N N 013136615 6/1/2017 6/1/2018 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 DED I I RETENTION $ Prod Comp Ops $ 5,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEElN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) de�nbe under DIf ESCRIPTION OF OPERATIONS below / A NOT APPLICABLE STATUTE OT ER E L EACH ACCIDENT $ XXXXXXX ��VV VV VV VVV E L DISEASE - EA EMPLOYEE �VIAVVAVAVAIxx E L DISEASE - POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) NAMED INSURED INCLUDES MCCLANE CANYON MINING, LLC. MCCLANE CANYON MINE, PERMIT NO. C-1981-004 11318132 DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-70"AC C The ACORD name and logo are registered marks of ACORD r All rights reserved