2020-12-09_REVISION - C1996084 - Laserfiche WebLink

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AC RV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/1212020 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 `EPRESENTATIVE 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 CONTACT NAME: - ----- Peoples Insurance Agcy-Ashland (DNo- ----FAX Box 210 AfCExO: 606-329-2200 __iac N1606--32-5--7787 E-MAIL Marietta OH 45750 ADDRESS: ----- INSURER(S)AFFORDING COVERAGE--_ _ _ NAICf1 --- ------ - - - -------- - -- - - - - - INSURERA: Great Midwest Insurance Co 18694 INSURED NEWEL-2 INSURER B : James River Insurance COm an New Elk Coal Co. LLC 12250 Highway 12 INSURERC : Weston CO 81082 INSURER D : INSURER E . INSURER F COVERAGES CERTIFICATE NUMBER: 202044066 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 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. ILTR NSR ADDLEFF TYPE OF INSURANCE INSD WVQ SUER POLICY NUMBER MMIDDPOLICY/YYYY I MM/DDIYYYY _ LIMITS A X COMMERCIAL GENERALLIABILRY GL00036581-07 4/24/2020 4/24/2021 EACH OCCURRENCE $1,000,000 _ CLAIMS -MADE l X I OCCUR j Me occurreDAMAGE TO RENTED nce $100,000 _PREMISES MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS - COMPIOP AGG ---- -- --- ------- $2,000,000 - 00- --- OTHER $ AUTOMOBILELUU31UTY COMBINED SINGLE LIMIT �Ea aeddenU $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS I --- - BODILY INJURY (Per accident) �- --- $ - --� HIRED NON -OWNED - AUTOS ONLY AUTOS ONLY ! PROPERTY DAMAGE Per accident $ $ A B UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE CX00047356-06 00059375 4/24/2020 4/24/2020 4/24/2021 4/24/2021- EACH OCCURRENCE $ 5,000,000 X DIED RETENTION $ I { 2nd Excess Liab $ 4,000.000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A I j PER _._R STATUTE _ _E_ ` E.L. EACH ACCIDENT $ i E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Golden Eagle, Lorencito, and New Elk Mines CERTIFICATE HOLDER Colorado Division of Reclamation Mining, & Safety 1313 Sherman Street Room 215 Denver CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved, ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD