2017-03-01_GENERAL DOCUMENTS - C1981038

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BOWIRES-01 HHICKS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado Department of Natural Resource THE EXPIRATION DATE THEREOF', NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Div. of Minerals & Geology 1313 Sherman St, Room 215 Denver, CO 80230 AUTHORIZED REPRESEJ1TATBfE y, y ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A EUAMID17Y ) CERTIFICATE OF LMILffY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'ERT'IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TIME POLICIES -LOW. IHIS CERTIFICA'T'E OF INSURANCE DOES NO'i- CONSTITUTE A CONTRACT BETINFEN 1'HE ISSUING INSURER(S}, AUTHORIZED .<EPRESENTA I VF OR PRODUC ER, AND THE CERTIFICAI"E HOLDER. IMPORTANT: if the Certificate holder is an ADDITIONAL INSURED kFe noliry(iXs) ,nu ;t have ADD] UONAL INST KED p ovlsroim of he endoDrod, If SUBROGA'NON I5 WAIVED, subject to A statement ori INS rertlfat ta, d"'s not confer urlhfs to the, cernPleate, holder In floe of Such ondorsoruenY.(s). __ CONIACT PRODUCER CAM_ PR �ntr rayeurance BFB. kCGo jjgN Far):(502 4232376 VAX (602t 49;-2320 4639 Payi Ov>gVille i20m(fl -GMAII ) ..... TNG No) (e_ 1 Loulsvitle, KY 40220 -ADW ss Insurance centralbank corn -,-INSURER AFI' eIn COVERAGE NNCfI I JJ_ _ ._._.- INSURER A National HE11On Fire Insurance _. 19/a�35 ItdSI1R6U INSURERA Lex Inchon lnsurari Company Jim Wolff _ _-- Bowra Rosourre Holdings, Li._C, INsuno(c Apollo Insurance... 6100 Dutchman's i_ane Ste 900 INSURER D Louisville, KY 40205 INSURER F NSURER F: COVERAGES CERTIFICATE NUMBEFd;....__ __..._._.. 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. )NSR LTR TYPEOFINSURANCE AODLSUBR POLICY NUMBER POLICY EFP MMIDD/YYY POLICY ERP M1 I YVY LIMITS A COMMERCIAL GENER�AL LIABILITY EACH OCCURRENCE S 2,000'000 CLAIMS MADE L X OCCUR GL 6576426 02/01/2017 02/0112016 DAMAGE TO RENTED PREMISES (Eaottmre_nce 1,000,000 $' X MED EXP An one person)$ 10,000 EMPIEtEN tied ,$1000 _ PERSONAL B ADV INJURY ! If 2'000'060 AGGREGATE LIMIT APPLIES PER POLICY , PRO- LOC JECT GENERAL AGGREGATE3'000'000 $ GENT ( PRODUCTS AGG 2,000,000 $ S OTHER AUTOMOBILE LIABILITY E. codeDISiNGLE LIMIT $ BODILY INJURY Per Person ANY AUTO T$ B`O{DILY I_N_JURY(Par acc tle� $ OWNED SCHEDULED AUTOS ONLY AUTOSWWNNEpp . PPe�acatlenl AMAGE g __..._ IMS—ONLY. No OSOFlLY $ A X'; UMBRELLA LIAR X OCCUR EACI I OCCURRENCE $ 10'006'000 EXCESS LIAR CLAIMS -MADE BE84160147 02/01/2017 02/0112018AGGREGATE g 10,000,000 DED I X I RETENTION$ 10,000 g WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFPICERIMIEMSER EXCLUDED9 (Mandato,,n NH) NIA PER OTIi- STATUTE --t Ell T _ EL EACH ACCIDEN L. L DISEASE_ EA EMPLOYEE S_ $ IVes, describe under SCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT - $ B Commercial Umbrella 025267252 02101/2017 02101/2018 Excess 15,000,000 C Commercial Umbrella B0507Pl7HL00260 02/01/2017 02/01/2018 Excess Excess throb 20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS) VEHICLES /ACORD Pei, Additional Remarks Echedule, ma be allaciled If mores ace Is required) Evidence of Insurance as respects to Bowie #2 R71ne Permit OC1996083 and Bowie is Mine Permit #C19F81038. General Liability policy provides protection for use of explosives. The General Liablity and Umbrella policies Included an endorsement providing that 30 days notice of cancellation (or coverage change) will be furnished to the certificate holder by the carrier SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado Department of Natural Resource THE EXPIRATION DATE THEREOF', NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Div. of Minerals & Geology 1313 Sherman St, Room 215 Denver, CO 80230 AUTHORIZED REPRESEJ1TATBfE y, y ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD