2011-06-20_GENERAL DOCUMENTS - C1983059 (2)

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A?R?® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/06/2011 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 CONTACT Aon Risk Servic I f Fl id NAME: es, nc o or a 866 283 22 O 222 Lakeview Avenue ) -71 ?C No.): (847) 953-5390 (A/C . No. Ext): ( Suite 510 E-MAIL West Palm Beach FL 33401 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Ins Co 16535 oxbow carbon & Minerals, LLC INSURER B: American Guarantee & Liability Ins Co 26247 1601 Forum Place suite 1400 INSURER C: XL Insurance America Inc 24554 West Palm Beach FL 33401-8101 USA INSURER D: Lexington Insurance Company 19437 INSURER E: Westchester Fire insurance Co 10030 INSURER F: It v1vVCRAl7C0 I+CK I It-ILIA It NUIVIt3t11: O/UU4Z(0`03t) HI-VItilUN Nl1MHFR• 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDNYYY MMIDD/YYEXP YY LIMITS A GENERAL LIABILITY GLO - EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY General Li abl i ty DAMAGE RENTED 000 000 $1 SIR applies per policy ter ns & condl ions PREMISES Ea occurrence , , CLAIMS-MADE X? OCCUR MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 X POLICY PROECT LOC J A AUTOMOBILE LIABILITY BAP 9265950-01 06/01/2011 06/01/2012 COMBINED SINGLE LIMIT $1 000 000 Business Automobile cover Ea accident , , X ANY AUTO BODILY INJURY ( Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) HIRED AUTOS H NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) B X UMBRELLA LIAB X OCCUR UMB926593701 06/01/2011 06/01/2012 EACH OCCURRENCE $25,000,000 EXCESS LIAB CLAIMS-MADE SIR SR applies per policy ter ns & condi ions AGGREGATE $25,000,000 DED X RETENTION $10,000 WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY y / N TORY LIMITS ER ANY PROPRIETOR / PARTNER, EXECUTIVE OFFICER/MEMBER EXCLUDED? ? N/A E.L. EACH ACCIDENT (Mandatory in NH) If yes describe under E.L. DISEASE-EA EMPLOYEE , DESCRIPTION OF OPERATIONS below - - '- - - - - - - - -? -E- DISEASE-POLICY LIAOT - DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) See Attachment: ? ? 0 RE: Terror Creek Company. C-1983-059 w m a m v O 2 co r- Lo r v oo r- un O Z N O Z= d U CERTIFICATE HOLDER CANCELLATION ti °'J ?r?t?9 ZIA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE J POLICY PROVISIONS. - Division of Minerals & Geology AUTHORIZED REPRESENTATIVE -tr 1313 Sherman Street Room 215 Denver Co 80203 USA t?{L'on `?% ?- pt2 4 L 94? ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD