2012-06-04_GENERAL DOCUMENTS - C1981041

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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 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF fMM /DD/YYYY) POLICY EXP IMM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY y N GL0936045 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occur ence) $ 1,000,000 $ 10,000 MED EXP (Any one person) CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 $ PRODUCTS - COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER 7 POLICY JEI T 15 1 LOC A AUTOMOBILE X _ LIABILITY ANY AUTO AUTOS NED HIRED AUTOS _ .� SCHEDULED NON -OWNED AUTOS N N CA935830 6/1/2012 6/1/2013 ) Ee aacld D LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE (Pe accid $XXXXXXX $XXXXXXX B X UMBRELLA LIAR EXCESS LIAB _OCCUR CLAIMS -MADE N N 013136615 6/1/2012 6/1/2013 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5,000,000 Prod - Comp /Op $ 5,000,000 DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) it DESCRIPTION N OF OPERATIONS below N / A NOT APPLICABLE I WC STATU- I 10TH- TORY LIMITS FR E L EACH ACCIDENT XXXXXXX $ XXXXXXX E L DISEASE - EA EMPLOYEE $ XXXXXXX E L DISEASE - POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) NAMED INSURED INCLUDES MCCLANE CANYON MINING, LLC. SNOWCAP COAL COMPANY, INC., A DELAWARE CORPORATION, IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT RE: COAL REFUSE DISPOSAL RECEIVED ur.r n A 9X49 AC•RN• CERTIFICATE OF LIABILITY INSURANCE `,� 6/1/2013 DATE(MM /DD/YYYY) 5/30/2012 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 Lockton Companies,LLC -1 St. Louis Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 CONTACT (A/C, Ext): I FAX No): E -MAIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIC # INSURER A : National Union Fire his Co Pittsburgh PA 19445 INSURED Rhino Resource Partners, LP 1340392 PO Box 1169 Pikeville KY 41502 INSURER B : Lexington Insurance Company 19437 INSURER C INSURER D : INSURER E : INSURER F : 22341ERTIFICATE NUMBER: 11318168 REVISION NUMBER: XXXXXXX CERTIFICATE HOLDER ACORD 25 (2010/05) CANCELLATION 11318168 Division of Reclamation, Mining & Safety DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD © 1988- • RD CO RA ON. All rights reserved