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® DATE(MM/DD/YYYY)
<br /> ACCORD CERTIFICATE OF LIABILITY INSURANCE 02108/2024
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONT:CONTACT Marsh I U S Operations
<br /> MARSH USA LLC
<br /> PHONE (866)966-4664 FAX
<br /> 525lnin a Street, 2 900 RECEIVE® E-MAILNo.Extl: (A/C,No):
<br /> Cincinnati,OH 45202 E-M
<br /> ADDRESS: Cincinnat.CertReQ ues marsh corn
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> va
<br /> 1 3 2024 INSURER A:Houston Specialty Insurance Company 12936
<br /> INSURED INSURER B:Imperlum Insurance Company 35408
<br /> Wolverine Fuels,LLC
<br /> Attn Marc Maglione,Chief Financial Officer â–ºamafi0n, INSURER C.James River Insurance Company 12203
<br /> 9815 South Monroe Street,Suite 203 (,pi0Cad0 Division Of ReC INSURER D:Rockwood Casualty Insurance Company 35505
<br /> Sandy,UT 84070 Mining and Safety
<br /> INSURER E:NIA N/A
<br /> INSURER F:N/A N/A
<br /> COVERAGES CERTIFICATE NUMBER: CLE-006879673-06 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY),(MM/DDIYYYY),
<br /> A X COMMERCIAL GENERAL LIABILITY MNG-HS-GL-0000018-00 05/01/2023 05/01/2024 EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE RENTE
<br /> CLAIMS-MADE X OCCUR PREM SESO(Ea occurrence) $ 100,000
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONAL 8 ADV INJURY $ 1,000,000
<br /> GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
<br /> X POLICY PRO-
<br /> JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> OTHER $
<br /> B AUTOMOBILE LIABILITY MNG-IIC-CA-0000107-02 05/01/2023 05/01/2024 COMBINED SINGLE LIMIT $ 1,000,000
<br /> (Ea accident) _
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY (Per accident)
<br /> $
<br /> A UMBRELLA LIAB X OCCUR MNG-HS-CX-0000003-02 05/01/2023 05/01/2024 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE PRIMARY EXCESS AGGREGATE $ 5,000,000
<br /> C DED RETENTION$ 00130439-0(1st XS LAYER) 05/01/2023 05/01/2024 Ea Occ/Agg,xs$5M $ 5,000,000
<br /> D WORKERS COMPENSATION WC703860 02/01/2024 02/01/2025 X I PER II OTH-
<br /> AND EMPLOYERS'LIABILITY STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E L EACH ACCIDENT $ 1,000,000
<br /> OFFICER/MEMBER EXCLUDED') N N/A
<br /> (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ 1,000,000
<br /> If yes,describe under 1,000,000
<br /> DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $
<br /> -
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Re.Bowie#2 Mine Permit#C1996083 and Bovie#1 Mine Permit#C1981038.General Liability policy provides protection for
<br /> use of explosives
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> State of Colorado Department of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> Natural Resource THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Div of Minerals&Geology ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 1313 Sherman St,Room 215
<br /> Denver,CO 80230
<br /> AUTHORIZED REPRESENTATIVE
<br /> ?arele2.O.e 'kS>'rgo A-1`a"
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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