2011-06-06_GENERAL DOCUMENTS - C1996083

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166513001 . 1 R CERTIFICATE OF LIABILITY INSURANCE DAT D/YYYY) / *_ 5/27 2 5/27/2011 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 Wells Far o Insurance Services of West Vir i i I A/C No : g g n a nc. 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 Box 5057 INSURER C : INSURER D : INSURER E : Ashland, KY 41105 INSURER F GUVtKAGtS CFRTIFICATF NIIMRFR- LOLIIL4`.1 0F\1ICIl11J NI IIIADCD- 0-- ?..I..... 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. ILTR TYPE OF INSURANCE INSR SUWVD ER POLICY NUMBER MM/DDY/YYEFF YY MMIDDY EXP LIMITS A GENERAL LIABILITY 6464602 5/31/11 5/31/12 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TOR RENTED PREMISES Ea occurrence 1,000,000 $ CLAIMS-MADE FV7 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 PRO LOC $ AUT OMOBILE LIABILITY COEaMBINED accidentSINGLE LIMIT ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY Per accident) ( ) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- 1 I AND EMPLOYERS' LIABILITY TORY ' YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? H N/A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If as, describe under PMON OF-OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) As respects to Bowie Permit #C-1996-083. General Liability policy provides protection for use of explosives. VILr?I1r IVMIG f1VL{JCR V -IjOl' `1 a g? 4Y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Division of Reclamation Minin & Safet (e? ACCORDANCE WITH THE POLICY PROVISIONS. g y 1313 Sherman Street, Room 215 Denver, CO 80203 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05)