2012-06-04_GENERAL DOCUMENTS - C1981020

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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 TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP IMM /DD/YYYYI LIMITS ,J-TR A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY N N GL0936045 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1,000,000 $ 1,000,000 PREMISES (Ea occcur ence) MED EXP (Any one person) $ 10,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 $ 2,000,000 - GENERAL AGGREGATE PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER — 7 POLICY JECT 1 1 LOC $ A AUTOMOBILE X _ — LIABILITY ANY AUTO AUTOS OWNED HIRED AUTOS — _ SCHEDULED NON -OWNED AUTOS N N CA935830 6/1/2012 6/1/2013 accidentSINGLE LIMIT $ 1 000 000 ,FEa BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE (Per accident l $ XXXXXXX $ XXXXXXX B X UMBRELLALIAB EXCESS LIAB _ OCCUR CLAIMS -MADE N N 013136615 6/1/2012 6/1/2013 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5,000,000 $ 5,000,000 Prod - Comp /Op DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE I I OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION N OF OPERATIONS below N / A NOT APPLICABLE WC STATU- I IOTH- I TORY LIMITS FR E L EACH ACCIDENT V `�V V XXXXXXX $ XX E L DISEASE - EA EMPLOYEE T V V V $ E L DISEASE - POLICY LIMIT ) XXXXXXX $ XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: MUNGER CANYON MINE, DRMS PERMIT 1981 -020 ° M ' E IVED JUN 0 4 2012 ' ^eCIamation, ACORC° CERTIFICATE OF LIABILITY INSURANCE 41....---- 6 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 NA 1 FAx (A/C, No, EXt): I (a/C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins Co Pittsburgh PA 19445 INSURED Rhino Resource Partners LP 1340392 CAM Mining LLC PO Box 1169 Pikeville KY 41502 INSURER B : Lexington Insurance Company 19437 INSURER C : INSURER D : INSURER E : INSURER F : 11291473 DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN STREET 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 CERTIFICATE HOLDER ACORD 25 (2010/05) • CANCELLATION The ACORD name and logo are registered marks of ACORD REVISION NUMBER: XXXXXXX ,,, Sa ©1988- RD CO RA ON. All rights reserved