2018-08-03_PERMIT FILE - C1981019A (3)

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ACORO® CERTIFICATE OF LIABILITY INSURANCE �. DAT L_12 ' THIS CERTIFICATE IS ISSUED ASA 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 CONSTITUTEA 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 Companies 90 S Stn Street Suite 700 Mirineapoh; AN 55402 COs.CONTACT Tim Johnstad or Lacer Skallck� N -333-3323 -373-7270Hay AICNE APLo612 MDRESS: gohnstad ghayscompanies com INSURER(S) AFFORDING COVERAGE NAIL# NSURERA: Arch Insurance Company 11150 INSURED Elk Ridge Mining and Reclamation LLC COL. -V1 ri COAL COMP4f4Y L P 1100 West I16th Avenue NtexmnAer CO 80234 INSURERS ACE Property& Casualty Insurance Co 20699x INSURERC INSURERD INSURERE: INSURER COVERAGES CERTIFICATE NUMBER: 2018-2919 REVISION NUMBER: THIS IS TO CERTIF, THAT THE POLICIES OF INSURANCE LISTED BELOW HARE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED NOTWITH STANDING AN f REQUIREMENT, TERM OR CONDITION OF ANY I'ONTPACT OR OTHER DOCUMENT WITH PESPEC T Tn+n'HI(-H THIS CERTIFICATE MAY BE ISSUED OR MAI PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEAMS, EXCLUSIONS ARID CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAvE BEEN PEDUCED B, PAID CLAIMS INSR LTR TYPE OF etSIIRANCE INSD MAID POLICY NUMBER POLICY EFF (MAA)DMYYY) POLICY EXP WI7DYYYY) LIMITS COMAERCIALGENEWTLLWBILITY EACHOCCURRENCE $ 1 000.000 CLAIMS -MADE -C j; PREMISES Eaocrurrmce $ 100,000 MED E:A EP01004502-02 08!01,2018 08!01,:019 PERSONAL&AM PUCRY $ 1000,000 GENLAG GREGATE LIMITAPPUES PER GENERALAGGREGATE $ -000000 POLICY ❑ PRO- ®LOT PRODUCTS COM PrOP 4GG $ 2 00(1,0011 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a acrcIii BOCILI NJURY(Per person) t ANl'AUTO Il-, SCHPOLED ALITOS ONLI A1ROS HIRED NOIIO"I, u UTO', ON.( AUTOS ONLY BODILI P11UR(hPeraaldent) $ PR0PE Ter DAMAGE $ er accxferd F UINRELLALIAB OCCrR EACH OCCURRENCE f 2]000,1000 4GGREDA7E 8 25'000 000 B EXCESSLIAB ftAIMS-MAGE 628145160 003 08/01/'018 08101,20 19 DED RETENTION $ 25,000 IS WORKERS COkWENSATION AND EMPLOYERS' LIABILITY YIN f STATUTE ER EL EACH ACCIDENT $ 4N YPROPPIETOPIPARTt1ERE:'Er UTIVE O F F I C'ERJM EMBER EFCLUDED^ ❑ NIA (Mandatory in NFD EL DISEASE - EA EMPLO(EE S EL DISEASE - POLICY LIMIT $ Ifyes, di5 Ube under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS' VEHICLES (ACORD IDS, Additional Remarks Schedule, may be attached d rmre specials required) Evidence of Insurance 3s respect-Coiowyo Coal Company, L P (Permit #C-81019) Include,- use of Explosives CERTIFICATE FOLDER CANCELLATION ©1986-2015 ACORD CORPORATION All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks ofACORD Exhibit 3-1 Revision Date: 7/26/18 Revision No.: MR -190 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Colorado Mined Land Reclamation Mined Land DrYisron ACCORDANCE WITH THE POLICY PROVISIONS. 1313 5h erm an Street, RM '15 AUTHORIZED REPRESENTATIVE Denver CC 80203 , ©1986-2015 ACORD CORPORATION All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks ofACORD Exhibit 3-1 Revision Date: 7/26/18 Revision No.: MR -190