2022-06-22_REVISION - C1981041 - Laserfiche WebLink

Home Browse Search

A ® DATE / Y) CERTIFICATE OF LIABILITY INSURANCE os/23/23r20212a21 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(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 endorsements. CONTACT PRODUCER �.+. ..,� NAME: McGriff Insurance Services.Inc � ��® P O Box 10265 PHONE Ext:800-476-2211 FVC No): Birmingham,AL 35202 E-MAIL ADDRESS: JUL 1 3 2021 INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:Old Republic Insurance Company 24147 INSURED IVWN OF RECLAMATION INSURER B American Electric Power Company.Inc and all Sub�i 1 Riverside Plaza MININGAND SAFETY INSURER C: Columbus,OH 43215 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:S6B78G3C 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 INSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY M IDD/YYYYY EFF POLICY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY MWZZ316379 07/01/2021 1 07/01/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEI�_ X CLAIMS-MADE DOCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO JECT ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY 1MWTB 316377 07/01/2021 07/01/2024 COMBINED SINGLE LIMIT 1,000,000 Ea.ccident _ X ANY AUTO I BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident)I $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATEF_T $ DED RETENTION$ i $ WORKERS COMPENSATION PER OTH- _7 AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A i E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ It s.describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Named insured includes Snowcap Coal Company,lnc. Covers all operations in the State of Colorado,X,C,U included Endorsement Cancellation Notice In the event we cancel this policy,we agree to mail prior written notice of cancellation to the name and address shown in the schedule below The number of days of advance notice of cancellation sent to the names shown in the schedule shall be equal to or greater than the statutory requirement and can never be less than the mandated period Schedule continued next page) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Colorado Department of Natural Resources Division of Reclamation,Mining and Safety 1313 Sherman Street-Room 215 AUTHORIZED REPRESENTATIVE Denver,CO 80203 United States W4 Page 1 of 2 ®1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD