2019-08-06_GENERAL DOCUMENTS - C1981008

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DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 08/01/2019 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). PRODUCER CONTACT Lacey Skalicky or Alejandra Chavez Rivas NAME, Hays Companies Inc. HONE Ext): (612)333-3323 (JC,,,): (612)373-7270 80 S 8th Street E-MAIL achavezrivas@hayscompanies.com ADDRESS: Suite 700 INSURER(S)AFFORDING COVERAGE NAIC# Minneapolis MN 55402 INSURERA: Everest National Insurance Company 10120 INSURED INSURER B: ACE Property&Casualty Insurance Co 20699x Elk Ridge Mining and Reclamation LLC INSURER C: 1100 West 116th Avenue INSURER D: INSURER E: Westminster CO 80234 INSURER F: COVERAGES CERTIFICATE NUMBER: 2019-2020 REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IPOLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MM DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE100,000 CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ 5,000 A EN4GL00335-191 08/01/2019 08/01/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ❑ PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY JECT OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident P 1 $ X UMBRELLA LIAB - OCCUR EACH OCCURRENCE $ 25'000'000 B EXCESS LIAB CLAIMS-MADE XOO G28145160 004 08/01/2019 08/01/2020 AGGREGATE $ 25,000,000 DED I X1 RETENTION$ 10,000 $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE F7N/A E L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of insurance as respects New Horizon North Mine in Nucla,CO(Permit#C-2010-089)and New Horizon Mine(Permit#C-81-001 � ��® explosives. +�w AUG 062019 cjviSION OF REQ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Colorado Mined Land Reclamation Board Division of Reclamation, ACCORDANCE WITH THE POLICY PROVISIONS. 1313 Sherman Street,RM 215 AUTHORIZED REPRESENTATIVE Denver CO 80203 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD