2020-12-09_REVISION - C1981012 - Laserfiche WebLink

Home Browse Search

DATE (MMIDDIYYYY) ACI R" CERTIFICATE OF LIABILITY INSURANCE 5/12/2020 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 PHONE - PO BOX 210 606-329-2200 FAx _ _ LAIC, No, ExU; _ 1_(A/C, No): 606-325-7787 Marietta OH 45760 A DRIESS: INSURERS) AFFORDING COVERAGE _ NAIC fl - INSURERA: Great Midwest Insurance Co 18694 INSURED New Elk Coal Co. LLC 12250 Highway 12 Weston CO 81082 INSURER B : James River Insurance Com�Iany INSURER C : INSURER _D : INSURER E : COVERAGES CERTIFICATE NUMBER- 7n2n440F6 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 ICY EXP TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIPOLICYEFF MMI IYYYY DDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL00036581-07 4/24/2020 4/24/2021 EACH OCCURRENCE $1,000,000 — I CLAIMS -MADE �%(j OCCUR PREMISES Ea occurrence) — $100,000 MED EXP (Any one person) — $ 6,000 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 --- — 07HER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPEATYDAMAGE Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ A B UMBRELLA GAB EXCESS LIAR OCCUR CLAIMS -MADE CX00047356-06 4/24/2020 00059375 i 4/24/2020 4/24/2021 4/24/2021 EACH OCCURRENCE AGGREGATE $5,000,000 X HX $ DED RETENTION $ 2nd Excess Liab $ 4,000,000 WORKERS COMPENSATION AND EMPLOYERS' LABILITY YIN ANYPROPRIETORIPARTNER E)(ECUTNE OFFICERIMEMBEREXCLUDED? NIA ` PER O H- STATUTE _—._ _ER (E.L. EACH ACCIDENT $ _ - (Mandatory In NH) j I E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below 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