2012-06-04_GENERAL DOCUMENTS - C1980004 (2)

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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 SUER WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DDIYYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY N N GL0936045 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea o $ 1,000,000 $ 10,000 MED EXP (Any one person) CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 $ 2,000,000 PRODUCTS - COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER 7 POLICY[ JPE? I ^ LI 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 fEa aBc deDn SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ {XXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE (Per accident) $ XXXX�{X $ 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 yes, DESCRIPTION N OF OPERATIONS below N / A NOT APPLICABLE WC STATU- 0TH - ( TORY LIMITS! FR E L EACH ACCIDENT $ 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. MCCLANE CANYON MINE, PERMIT NO. C -198L) -004 NO ACORb- CERTIFICATE OF LIABILITY INSURAN 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 P Lockton Companies,LLC-1 1St. Louis Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 CONTACT NAM L FAx (A/C, No, Ext): INC, No): E -MAIL ADDRESS: INSURERISI AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins 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 : CERTIFICATE HOLDER ACORD 25 (2010/05) • CANCELLATION The ACORD name and logo are registered marks of ACORD ISION NUMBER: XXXXXXX 11318132 DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 SUN o Al 7c\ cr Og end Sakety 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 © 1988- RD CO RA ON. All rights reserved