2017-08-07_GENERAL DOCUMENTS - C1981019

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ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) F7/31/2017 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 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 CONTACT Tim Johnstad NAME: VHCNNo Ext ; (612) 333-3323 ac No ; 612-373-7270 Hays Companies E-MAIL ADDRESS: t ohnstad@hayscompanies.com 80 S 8th Street Suite 700 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A Arch Insurance Company 11150 Minneapolis MN 55407 INSURED INSURER B ACE Property & Casualty Ins CO 20699 INSURER C: Elk Ridge Mining and Reclamation, LLC INSURER D COLOWYO COAL COMPANY L.P. INSURER E: 1100 West 116th Ave INSURER F: Westminster CO 80234 COVERAGES CERTIFICATE NUMBER:2017-2018 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 7ypE OF INSURANCE ADDL SUBR D POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 1X OCCUR DAMAGE PREMISES Ea ocicurr0ence $ 100,000 MED EXP (Any one person) $ EP01004502-01 8/1/2017 8/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 RECE�VEp POLICY F71PRO- JECT [ X] LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER AUTOMOBILE LIABILITY rlwA. COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS on o{ R� ®tV�$� & Saw �1p1rnn9 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Peracadent $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 25,000,000 AGGREGATE $ , 000,000 B EXCESS LIAB CLAIMS -MADE _ DED X RETENTION$ 25 000 _25, $ G28145160 002 8/1/2017 8/1/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE F____1; E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ��J N / A - — -- -_ (Mandatory in NH) _ E.L DISEASE - EA EMPLOYE $ If yes describe under — - DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance as respects Colowyo Coal Company, L.P. (Permit #C-81019). Includes use of Explosives CERTIFICATE HOLDER CANCELLATION Colorado Mined Land Reclamation Mined Land Division 1313 Sherman Street, RM 215 Denver, CO 80203 ACORD 25 (2014/01) INS095 nmcm i 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 James Hays/TJOHNS i © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD