2012-06-04_GENERAL DOCUMENTS - C2008086

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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 INVD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /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 occcu ence) $ 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 PRODUCTS - COMP /OP AGG $ 2,000,000 $ GEN'L AGGREGATE LIMIT APPLIES PER — 7 POLICY JEC 1 X I LOC A AUTOMOBILE X _ LIABILITY ANY AUTO AUT OWNED HIRED AUTOS — SCHEDULED NON -OWNED AUTOS N N CA935830 6/1/2012 6/1/2013 F O eBCld D LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ ){XXXX)Q( PROPERTY DAMAGE (Per accldentl $ XXXXXXX $ XXXXXXX B X UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE N N 013136615 6/1/2012 6/1/2013 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 $ 5,000,000 AGGREGATE Prod -Comp/Op DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE a OFFICER/MEMBER EXCLUDE D (Mandatory in NH) If DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE I WC STATU- I 10TH - ITORY LIMITS FR E L EACH ACCIDENT V V $ 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 CAM - COLORADO, LLC. STATE OF COLORADO, DIVISION OF RECLAMATION MINING & SAFETY IS ADDITIONAL INSURED UNDER GENERAL LIABILITY RE• RED CLIFF MINE RECEIVED 'JUN 042012 ACORN° 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 P Lockton Com anies,LLC 1St. Louis Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 CONTACT NAME: (CC, PHONE , E :t): I FAX 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 : XX CERTIFICATE HOLDER CANCELLATION 11318073 STATE OF COLORADO DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 Division of Reclamation, SHOULD ANY OF THE ABOVE DES : BEFORE THE EXPIRATION DATE THEREOF, OTIC WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ©1988- RD CO RA ON. All rights reserved