2011-06-02_GENERAL DOCUMENTS - C1996083 (2)

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166513001 AcoRp0 CERTIFICATE OF LIABILITY INSURANCE DATE//YYYY) 5//2727/220011 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 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 endorsement(s). PRODUCER Commercial Lines - (304) 252-6375 CONTACT NAME: PHONE FAX A/c No : Wells Fargo Insurance Services of West Virginia Inc. E-MAIL ADDRESS: 41 Eagles Road INSURERS AFFORDING COVERAGE NAIC # Beckley, WV 25801-3643 INSURER A: National Union Fire Ins. Co. of Pittsburgh, PA 19445 INSURED Bowie Resources, LLC INSURER B : PO B 5057 INSURER C : ox INSURER D : INSURER E : Ashland, KY 41105 INSURER F : rn%1=12ArFC CCRTICICATF NI IIURFI7• Lt1U11QS RFVI-glnm NIIMRFR• Rnn hclnui 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 ADDL SUBR DY EXP I T LTR TYPE OF INSURANCE POLICY NUMBER MM/D /YYYY MMIDD L MI S A GENERAL LIABILITY 6464602 5/31/11 5/31/12 EACH OCCURRENCE $ 2,000,000 X DAMAG TO RENTED 1 000 000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence , , $ CLAIMS-MADE 51 OCCUR MED EXP (Any one person) $ 10,000 X Blasting & XCU PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY P jECT [7 RO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION ' WC STATU- OTH- T AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Evidence of Insurance as respects to Bowie #2 Mine Permit # C-096-083. General Liability policy provides protection for use of explosives. 9??0 GtK I IrIGA I L MULUtK YK .4 ?/ - VANV CLLA I IUN CnaW" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado a 1y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN gaffe ACCORDANCE WITH THE POLICY PROVISIONS. Department of Natural Resources ?,,? ` J and Div. of Minerals & Geology v?J ??n?n9 AUTHORIZED REPRESENTATIVE 1313 Sherman Street, Room 215 Denver, CO 80203 The ACORD name and logo are registered marks of ACORD U 1988-2010 AGURD GURFURATIUN. All rlgnts reservecl. ACORD 25 (2010/05)