2017-11-07_REVISION - C1981038 (2)

Home Browse Search

BOWIRES-01 BhIICISt CERTIFICATE OF LIABILITY INSURANCE DA7E 12/91A1DDlYYYY} — ----- __ 2!9!2017 _-- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'FRTIFICATE 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(5�, AUTHORIZLO .<EPRESENTAi iVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTAN 1': If the certificate holder is an ADDITIONAL. INSURED, the policy(ies) must have ADDI TiONA1_ INSURED provislons or be endorsed. if SUBROGATION IS WAIVED, Subject to the terms and conditions of the policy, certain policies may require an (ndores<o'nc ot, A St:.atement all this certificate does not confer rights to the certificate holder in lieu of such endorsetnent(s). PRODUCER TACT Irc�-tJ�-_- _.._.-.-___--______-____ Central Insurance Services --- - - - HON Ext): (502 493-2376 FAX >01 x'93,2320 4630 Taytorsville Road E-MAIL } --- ------ �rJc, v, ).E -- _ )- -r - -- _ - Loulsville, KY 40220 _-DA ORr,,5, insurance centralbank.corn INSURF_R(S) AFFORDING COVERAGE _. _._.. NAICj7__. _-- _._........... -- -- - -----------------___--- INsuRERn_National Union Fire Insurances -_-- - 19445 INSURED Bowie Resourre Holdings, LLC Jim Wolff 6100 Dutchman's Lane Ste 900 Louisville, KY 40205 rnvGA A r. �r C'FRTIFIr°ATF NIIMRFFI, IOSUR_r_Re:Lexington Insurance__--- I ..r.___.... �... .- - .. ----- INsuRER c_: Apollo Insurance--------------__-_-- -_ _.___.__`_!__.._-_ INSURER r: 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 TYPE OF INSURANCE AODL SUER POLICY NUMBER �'— MPOOLIICCY EFF POLICY EXPLTR Yj LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE occult GL 6676428 02101/2017 02101 /2018 DAMAGE TO RENTED PBEMISES (Ea occurrence 110001000 MED EXP (Any oneperson) g ----- --- 1'0,000 I X EMPIBEN ded ,$1000 $ 2,000,000 PERSONAL & ADV INJURY i i I GEN'LAGGREGATE LIMIT APPLIES' PER POLICY �, T LOC GENERAL AGGREGATE S 3,000,000 PRODUCTS AGG SJE _ 2'000'000 - S OTHER ' AUTOMOBILE LIABILITY (Fa accident) COMBINED SINGLE OMIT $ — — BODILY INJURY Perperson) ANYAUTO PDULED $ ___________ _BODILY INJURY Peracadent OWNEDSCHE . AURRTEEOSONLY AUUT�OSyyN£p S _ AU1�OS ONLY AUTO ON"LV f�eOaccR� nl AMAGE .$ J--- ---- - A X' UMBRELLA LIAR X OCCUR V EACH OCCURRENCE $ 10,000,040 AGGREGATE EXCESS LIAR CLAIMS -MADE BE84160147 02101/2017 02101/2018 3 10'000,000 DEA I X I RETENTIONS 10,000 3 _ WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR)PARTNERrEXECUTIVE OFFICE SER EXCLUDED' (Mandatory n NH) N/A PER O71i- EL EACH ACCIDENT E L- DISEASE - EA EMPLOYEE S • _ _ E L DISEASE - POLICY LIMIT _—_ _ S If yes. desuDe under DESCRIPTION OF OPERATIONS below B Commercial Umbrella 25267262 0210112017 02/01/2018 Excess 16,000,000 C Commercial Umbrella B0507P17HL00260 02/0112017 02101/2018 Excess Excess Umb 20,000,004 DESCRIPTION OF OPERATIONS! LOCATIONS) VEHICLES `ACORD 101, Additional Remarks Schedule, may be attached ft more space Is required) Evidence of Insurance as respects to Bowie #2 Mine Permit #C1996083 and Bowie #1 Mine Permit #C1981038. General Liability policy provides protection for use of explosives. The General Llabllty and Umbrella policies included an endorsement providing that 30 days notice of cancellation (or coverage change) will be furnished to the certificate holder by the carrier SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado Department of Natural Resource THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Div. of Minerals & Geology 1313 Sherman St Room 215 Denver, CO 80230 AUTHORIZED REPRESE11ITATWE z ^y A ACORD 25 (2016103) t .may ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD