2011-08-01_GENERAL DOCUMENTS - C1980007

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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEHIOu 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 LTR TYPE OF INSURANCE ADDL INSR SLID WVD POLICY NUMBER (MM/DD (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY GL 093 61 11 '$500,000 general aggregate applies per location 07/31/2011 • 07/31/2012 EACH OCCURRENCE $ 300,000 AMAGE PREM SES occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL &ADV INJURY $ 300,000 X Explosion Liability (XCU) GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP /OP AGG $ 500,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PRO-- X PER: LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS AUTOS i MARY . IKNEIER Notary Public /Notary State of Missouri • Seal COMBINED SINGLE LIMIT (Ea accidert) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Per PROPERTY ) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE St. Louis CoLnty COMMISSION #07504611 My Commission Expires: 12 -02 -2011- EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? I N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU OTH- TORY I IMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) overage is included for surface coal mining and reclamation operations including the use of explosives. C- 80-007 West Elk Mine ACC/RC/ 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. CERTIFICATE OF LIABILITY INSURANCE 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 Marsh USA Inc. 701 Market Street, Suite 1100 St. Louis, MO 63101 -1830 Attn: stlouis.certrequest @marsh.com; 212 - 948 -0811 001950 -- Reg -11 -12 Y INSURED Mountain Coal Company, L.L.C. P.O. Box 591 1 Mile East of Somerset - Hwy 133 Somerset, CO 81434 CONTACT NAME: PHONE (A /C, No, Ext): FAX (A /C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A : National Union Fire Ins Co Pittsburgh PA INSURER B INSURER C : INSURER D : INSURER E : INSURER F : DATE (MM/DD/YYYY) 07/28/2011 NAIC # 19445 COVERAGES CERTIFICATE HOLDER CERTIFICATE NUMBER: CHI - 004084888 -27 CANCELLATION Colorado Dept. Of Natural Resources Division of Reclamation, Mining & Safety 1313 Sherman Street, Room 215 Denver, CO 80203 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD REVISION NUMBER: 12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I 1 -2010 ACORD CORP RATION. All rights reserved.