2018-07-31_GENERAL DOCUMENTS - C1980007

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ACORO` CERTIFICATE OF LIABILITY INSURANCE 7/31/2019 DATE(MM/DD/YYYY) 7/24/2018 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). PRODUCER Lockton Companies Three City Place Drive, Suite 900 St. Louis MO 63141-7081 (314) 432-0500 CONTACT NAME: FAX A/C No Ext): AIC No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Union Fire IRs Co Pitts. PA 19445 INSURED Mountain Coal Company, LLC 1369402 5174 Highway 133 Somerset CO 81434 INSURER B: Aspen Specialty Insurance Company 10717 INSURER C: INSURER D: INSURER E: INSURER F : COVERAGES ARCCO CERTIFICATE NUMBER: 12471681 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP [MM/DD1YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N GL0936111 7/31/2018 7/31/2019 EACH OCCURRENCE 5,000,000 DAMAGE TO RENTED 2,000,000 PREMISES Ea occurrence MED EXP (Any oneperson) 10,000 X XCU & Subsidence PD RECEIVE X Policy Gen AGG $25M PERSONAL &ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 10,000,000 POLICY JECT 7 LOC OTHER 3120 $ PRODUCTS - COMP/OP AGG $ 5,000,000 $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY NOT APPLICABLE ecla Division of R (Mining & Sat a1;lons ty Ea acccidentSINGLE LIMIT $ XXXXXXX BODILY INJURY (Per person) $ XXX�{ yXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE $ XJfCXX��3� Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX EXCESS LIAB CLAIMS -MADE NOT APPLICABLE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE NOT APPLICABLE STATUTE OT I ER 7��V V� E L EACH ACCIDENT $ Xy1l�A/�/� OF EXCLUDED? ❑ (Mantlatory in NH) N / A v V V E L DISEASE - EA EMPLOYEE XXXXXXX If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT XXXXXXX B Pollution Legal Liab - Claims Made Sched Locs N N ERAHAF517 7/31/2017 7/31/2019 $1,000,000 per incident $1,000,000 policy aggregate New Conditions SIR -per policy DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) COVERAGE IS INCLUDED FOR SURFACE COAL MINING AND RECLAMATION OPERATIONS INCLUDING THE USE OF EXPLOSIVES. PERMIT #C 1980007 WEST ELK MINE (:CKIIFIUAIF HULUtzK t.AIM%,CLLAIIUN JGG 11LU1U111 ;I1LJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12471681 AUTHORIZED REPRESENTATIVE COLORADO DEPT. OF NATURAL RESOURCES DIVISION OF RECLAMATION, MINING & SAFETY 1313 SHERMAN STREET, ROOM 215 DENVER CO 80203 ACORD 25 (2016/03) ©1933-2015 ACORD COKPOKATIUN. All rignts reservea The ACORD name and logo are registered marks of ACORD