2019-07-31_GENERAL DOCUMENTS - C1980007

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�1 r-�oRo° CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) `� 7/31/2020 7/30/2019 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 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: Three City Place Drive,Suite 900 PHONE F ac No Ext): A/c No): St.Louis MO 63141-7081 E-MAIL (314)432-0500 V�FI` .ED ADDRESS: IN RER S AFFORDING COVERAGE NAI RE INSURER A: National Union Fire Ins Co Pitts.PA 19445 INSURED Mountain Coal Company,LLC 019 INSURER B: Aspen Specialty Insurance Company 10717 1369402 5174 Highway 133 JUL 3 1 2 INSURER C: Somerset CO 81434 CL AMATIO INSURER D: DIVISION OF gAFETY INSURER E: INING PN 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD MM/DD A COMMERCIAL GENERAL LIABILITY 7/31/2020 EACH OCCURRENCE 5,000,000 X N N DeAnna Maurer CLAIMS-MADE�OCCUR Notary Public-Notary Seal PREMISES Ea occurrence2,000,000 X XCU&Subsidence PD STATE OF MISSOU I MED EXP An one person) 10,000 X PolicyGen AGG$25M St. Louis County PERSONAL&ADV INJURY $ 5,000,000 My Commission Expires:July 23, 2021 GEN'L AGGREGATE LIMIT APPLIES PER: Commission #13417 L76 GENERAL AGGREGATE $ 10,000,000 POLICY JECT PRO- XX LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: 4L4 $ AUTOMOBILE LIABILITY EOMaccI idEentSINGLE LIMIT $ XXXXXXX ANY AUTO N APPLICABLE BODILY INJURY(Per person) $ XXX� �XX AUTOS ONLY SCHEDULED BODILY INJURY(Per accident $ XXXXXXX AUTOS ONLY NON-OWNED ONL� PROPERTY DAMAGE $ XXXx= $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE I NOT APPLICABLE �V V V ANY PROPRIETORIPARTNER/EXECUTIVE ❑ NIA A E.L.EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED9 (Mandatory In NH) E.L DISEASE-EA EMPLOYEE XXXXXXX ribe under DESyeeCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT I XXXx= B Pollution Legal Liab- N N ERAHAF519 7/31/2019 7/31/2021 $1,000,000 per incident Claims Made $1,000,000 policy aggregate SChed.LDCs 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 CERTIFICATE HOLDER CANCELLATION See Attachments 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) ©1988-2015 ACORD CORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD