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DATE(MWDD/YYYY)
<br /> ACD®
<br /> CERTIFICATE OF LIABILITY INSURANCE
<br /> 04/2912024
<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 CT
<br /> MARSH USA LLC. Marsh I U.S.Operations
<br /> 525 Vine Street,Suite 900 RECE�VEp (A"rC"No.Ext): (866)966-4664 FAX No):
<br /> Cincinnati,OH 45202 E-MAIL
<br /> ADDRESS; Cincinnati.CertReguestemarsh.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> M Y p 7 2024 INSURER A: Houston Specialty Insurance Company 12936
<br /> INSURED `'� INSURER B: Imperium Insurance Company 35408
<br /> Wolverine Fuels,LLC ,,t__.a"11
<br /> Attn:Marc Maglione,Chief Financial Officer ��j$jOn 0f.,,, INSURER c: lames River Insurance Company 12203
<br /> 9815 South Monroe Street,Suite 203 Co1pr„0 ,pand Safety INSURER D: N/A N/A
<br /> Sandy,UT 84070 tlAm►ng
<br /> INSURER E: N/A N/A
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER: CLE-006879673-12 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 EXPMM/ LIMITS
<br /> LTR INSD WVD POLICY NUMBER ( DD/YYYY) (MM/DD/YYYY)
<br /> A X COMMERCIAL GENERAL LIABILITY MNG-HS-GL-0000018-02 05/01/2024 05/01/2025 EACH OCCURRENCE $ 1,000,000
<br /> DAMAGE TO
<br /> CLAIMS-MADE X OCCUR PREMISES(EaENTED occurrence) $ 100,000
<br /> MED EXP(Any one person) $ 5,000
<br /> PERSONAL&ADV INJURY $ 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000
<br /> X POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000
<br /> ,
<br /> OTHER: $
<br /> B AUTOMOBILE LIABILITY MNG-IIC-CA-0000107-04 05/01/2024 05/01/2025 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-0000003-04 05/01/2024 05/01/2025 EACH OCCURRENCE $ 5,000,000
<br /> X EXCESS LIAB CLAIMS-MADE PRIMARY EXCESS AGGREGATE _ $ 5,000,000
<br /> C
<br /> DED RETENTION$ 00130439-0(1ST XS LAYER) 05/01/2024 05/01/2025 Ea Occ/Agg,xs$5M $ 5,000,000
<br /> WORKERS COMPENSATION PER
<br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ERH
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<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 Bowie#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 !J
<br /> ©1988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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