2009-09-05_GENERAL DOCUMENTS - C1981020

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® DATE(MM/DD/YYYY) -4tl.? RO CERTIFICATE OF LIABILITY INSURANCE 09/30/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Aon Risk insurance services west, inc. Fresno CA Office AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 5260 North Palm Avenue CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 400 COVERAGE AFFORDED BY THE POLICIES BELOW. Fresno CA 93704 USA INSURERS AFFORDING COVERAGE NAIC # PHONE-(559) 449-7200 PAX- 559 439-0 INSURER A: National Union Fire Ins Co of Pittsburgh 119445 INSURED ?m® McClane canyon mining LLC P.O. Box 1169 QO?J Pikeville KY 41502 USA rL ??? 0? G\ama??or, A Sa?O? INSURER B: INSURER C: INSURER D: INSURER E: w G d ^O "O O x ? w v a:,a?nvuv THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUMEMENT, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LIMITS SHOWN ARE AS REQUESTED INSR LTR ADD' INSRJ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS j DATE MM/DD/YYYY DATE MM/DD A ENERALLIABILITY GL0936045 05/31/2009 12/01/2010 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $1,000,000 PREMISES (Ea occurrence) - CLAIMS MADE ? OCCUR MED EXP Anv one person 310,0 0 PERSONAL & ADV INJURY $1,000,000 El GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 PRO - q LOC C] POLICY E] JECT A AUTOMOBILE LIABILITY CA0935830 05/31/2009 12/01/2010 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ( Per person) X7 HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I ANY AUTO OTHER THAN EA ACC H AUTO ONLY AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE C] OCCUR ? CLAIMS MADE AGGREGATE H DEDUCTIBLE RETENTION C STATU- OTH. WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABH,TTY 1' N E.L. EACH ACCIDENT ANY PROPRIETOR/ PARTNER/ EXECUTIVE DISEASE-EA EMPLOYEE E L OFFICERMIEMBER EXCLUDED? . . (Mandatary in NH) E.L. DISEASE-POLICY LIMIT If e; describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Munger Canyon Mine, DRMS Permit 1981-020 DO Ln w 7) v r ,D r r\ C z 6 R c 4 i a L i ?i FG J J 7v F CERTIFICATE HOLDER l A1Vl LLLAIIVIV Division Of Reclamation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Mining and safety DATE THEREOF, THE ISSUING INSURER WILL; *`DFAVOR To MAIL 1313 Sherman St., Room 215 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. 80 SHALL Oct TIWT OR . BI rT„ -.-F, Denver CO 80203 USA _ I AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) ©1988-2009 ABCOORD CORPORATION. All rights reserve The ACORD name and logo are registered marks of ACORD