2011-09-28_GENERAL DOCUMENTS - C1996084

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C A PRODUCER Putnam Agency PO Box 991 Ashland, KY 41105 J. Michael Wellman INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 TYPEOFINSURANCE ADM -L INSR wve i POLICY NUMBER (MMiDDA'Y Y) (MMIDD ITYY LIMITS A ACOR I DATE (MMIDD/YYYY) 09/27/11 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 Ileu of such endorsement(s). GENERAL UABILRY X X Pollution 1 mill GEN'L AGGREGATE LIMIT APPLIES PER ^ 1 POLICY n CT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X UMBRELLA LIAB EXCESS UAB DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPR ETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED! (M y In NH) DESCRIP TIp OF OPERATIONS below Property Floater ILM0300530 12108/10 SLSLXNR03000011 09/23/11 DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES Attach ACORD 101, Additional R.m N arks Schedule, mon apace Is requited) Re: Golden Eagle, Lorencito, and New Elk M ines Excess Liability CERTIFICATE HOLDER ACORD 25 (2009/09) New Elk Coal Co. LLC c/o Renee Steele 122 West First Street Trinidad, CO 81082 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 X J OCCUR X CERTIFICATE OF LIABILITY INSURANCE I I Loc OCCUR CLAIMS -MADE NIA GL0011077 -01 CX00000021-01 606 -329 -2200 606 -325 -7787 CONTACT NAME: PHONE 4C No EgD• E-MAI PRODUCER N EWE L - 2 CUSTOMER ID e; INSURERS} AFFORDING COVERAGE INSURER A :Bunkers Hill Underwriters INSURER S :Star Insurance Company INSURER C INSURER D INSURER E INSURER F: 09/23/11 09/23/11 CANCELLATION RLI Insurance Co. 09/23/12 09/23/12 EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) S MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE PRODUCTS - COMP /OP AGG COMBINED SINGLE LIMIT (Ea maiden)) BODILY INJURY (Per parson) BODILY INJURY (Par acodeni) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE E.L. EACH ACCIDENT FAX (A/C. No): I TORY L SMIS I I ER E.L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 12/08/11 Property 09/23/12 XS Llab $ $ S $ $ $ $ $ $ t i $ f ®1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: MW NAIL N 1,000,00 100,00 5,00 1,000,00 2,000,00 2,000,00 6,000, 6,000,00 2,304, 4,000,0 Colorado Div of Reclamation, Mining, 8, Safety 1313 Sherman Street Room 215 Denver, CO 80203 COLOR-3 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE