2019-06-07_GENERAL DOCUMENTS - C2010088

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ACORD° CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) lll%_� 6/1/2020 5/31/2019 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 pollcy(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). CONTACT PRODUCER Lockton Companies NAME: FAX Three City Place Drive,Suite 900 Arc No Ext): No): St.Louis MO 63141-7081 CE'vED E-MAIL (314)432-0500 RE ADDRESS: 019 INSURER(S)AFFORDING VERAGE NAI INSURER A: Federal Insurance Company 20281 INSURED CAM Colorado,LLC INSURER B: Lexington Insurance Company 19437 1340392 PO Box 1169 Pikeville KY 41502 pi�SioN o �c�, ,tioN INSURER C: f INSURER D MINING�� INSURER INSURER F: COVERAGES RHIRE CERTIFICATE NUMBER: 12139435 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. INTSRR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MOL ICY EFF APOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 36043255 6/1/2019 6/1/2020 EACH OCCURRENCE 2,000,000 CLAIMS-MADE�OCCUR PREMISES EaIoNcTurrence2,000,000 MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY JECT FX]LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N 73609308 6/1/2019 6/1/2020 (COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) $ YYYY�Y X OWNED SCHEDULED BODILY INJURY(Per accident $ XXXXXXX AUTOS ONLY AUTOS $ XXXXXXX HIRED AUTOSNON-OWNEDONLY PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ XXXXXXX B X UMBRELLALIAS X OCCUR N N 013136615 6/1/2019 6/1/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5 000 000 DED I I RETENTION$ Prod Comp.Ops $ 5:000:000 WORKERS COMPENSATION PER ER F1AND EMPLOYERS'LIABILITY Y/N NOT APPLICABLE ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E L EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED'+ 7v (Mandatory In NH) E L DISEASE-EA EMPLOYEE XXXXXXX DESIf CRdIPTTIION OF OPERATIONS below E.L.DISEASE.POLICY LIMB XXXXXXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) RE:UNIT TRAIN LOADOUT DRMS PERMIT#C-2010-088. STATE OF COLORADO RECLAMATION AND SAFETY IS ADDITIONAL INSURED UNDER GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION See Attachment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12139435 AUTHORIZED REPRESENTATIVE STATE OF COLORADO DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN ST. RM#215 DENVER CO 80203 ACORD 25(2016/03) ©1988- CORD CO ORA N.All rights reserved The ACORD name and logo are registered marks of ACORD