2019-06-07_GENERAL DOCUMENTS - C1980004

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�1 ACORN' CERTIFICATE OF LIABILITY INSURANCE FDATE(MWDD/YYYY) �i 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 policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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). CONTArr— PRODUCER Lockton Companies NAME: FAX Three City Place Drive,Suite 900 AIc No Ext); A/c No): St.Louis MO 63141-7081I�I E-MAIL (314)432-0500 ADDRESS: ��iE T �� INSURER(S)AFFORDINGCOVERAGE NAI INSURER A: Federal Insurance Company 20281 INSURED Rhino Resource Partners,LPO Z INSURER B: Lexington Insurance Company 19437 1340392 PO Box 1169 SUN Pikeville KY 41502 INSURER C INSURER D: INSURER INSURER IF: COVERAGES RHIRE CERTIFICATE NUMBER: 11318168 REVISION NUMBER: XXXY_XYX 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 ADDL SUBR POLICY EFF POLICY EXP R TYPE OF INSURANCE 1 POLICY NUMBER (MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 36043255 6/1/2019 6/1/2020 EACH OCCURRENCE 2,000,000 CLAIMS-MADE OCCUR DAMAGE TO REN2 000000 PREMISES Ea occurrenceTED MED EXP(Any oneperson) 10 000 PERSONAL&ADV INJURY $ 2,000,000 PGEN'LAGGREGATELIMITAPPLIESPER• GENERAL AGGREGATE $ 2000000 POLICYJECT FX LOC PRODUCTS-COMP/OP AGG $ 2 000 000 OTHER $ A AUTOMOBILE LIABILITY N N 73609308 6/1/2019 6/1/2020 (COBI EDtSINGLE LIMIT $ 2,000,000 I ANY AUTO BODILY INJURY(Per person) $ XXY_Y_YM AUTOS ONLY SCHEDULED BODILY INJURY(Per accident $ XXXJVVM AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY Per accident $ XXXXxXX B X UMBRELLA LIAB 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 RETENTION$ Prod.Comp.Ops $ 5:000:000 WORKERS COMPENSATION STATUTE ER AND EMPLOYERS'LIABILITY Y/N NOT APPLICABLE ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E L EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDEEP (Mandatory In NH) E L DISEASE-EA EMPLOYEE XXXXXXX If yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMB S XXXXXXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) NAMED INSURED INCLUDES MCCLANE CANYON MINING,LLC. SNOWCAP COAL COMPANY,INC.,A DELAWARE CORPORATION,IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT.RE:COAL REFUSE DISPOSAL 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. 11318168 AUTHORIZED REPRESENTATIVE DIVISION OF RECLAMATION MINING&SAFETY 1313 SHERMAN ST. ROOM#215 DENVER,CO 80203 5;�z ,w ACORD 25(2016/03) ©1988- CORD CO ORA N.All rights reserved The ACORD name and logo are registered marks of ACORD