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2012-06-04_GENERAL DOCUMENTS - C2008086 (2)
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2012-06-04_GENERAL DOCUMENTS - C2008086 (2)
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Last modified
8/24/2016 4:59:04 PM
Creation date
6/5/2012 9:41:18 AM
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Template:
DRMS Permit Index
Permit No
C2008086
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
6/4/2012
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Email Name
MPB
SB1
Media Type
D
Archive
No
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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 <br />INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />INSR <br />TYPE OF INSURANCE <br />INSR <br />SNND <br />POLICY NUMBER <br />POLICY <br />(MM /DD/YYYY) <br />(MM/ I <br />LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />Y <br />N <br />GL0936045 <br />6/1/2012 <br />6/1/2013 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />PREMISES (Ea occur ence) <br />$ 1 <br />INSURER F : <br />CLAIMS -MADE X OCCUR <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$ 1 000 000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />7 POLICY JECT I - I LOC <br />$ <br />A <br />AUTOMOBILE <br />X <br />_ <br />LIABILITY <br />ANY AUTO <br />AUTS OWNED <br />AUTOS <br />HIRED AUTOS <br />_ <br />_ <br />SCHEDULED <br />NON -OWNED <br />AUTOS <br />N <br />N <br />CA935830 <br />6/1/2012 <br />6/1/2013 <br />(Ea aceld D SINGLE LIMIT <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ XXXXXXX <br />BODILY INJURY (Per accident <br />$ XXXXXXX <br />PROPERTY DAMAGE <br />(Per accident) <br />$ XXXJC <br />B <br />X <br />UMBRELLA LIAB <br />EXCESS LIAB <br />_ OCCUR <br />CLAIMS -MADE <br />N <br />N <br />013136615 <br />6/1/2012 <br />6/1/2013 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5 000 000 <br />DED I I RETENTION $ <br />Prod -Comp/Op <br />$ 5,000,000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? n <br />(Mandatory in NH) <br />If yes, descnbe under <br />DESCRIPTION OF OPERATIONS below <br />N / A <br />NOT APPLICABLE <br />I WC STATU- I IOTH- <br />LIMITS FR <br />E L EACH ACCIDENT <br />$ XXXXXXX <br />E L DISEASE - EA EMPLOYEE <br />E L DISEASE - POLICY LIMIT <br />5 XXXXXXX <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />NAMED INSURED INCLUDES CAM - COLORADO, LLC. STATE OF COLORADO, DIVISION OF RECLAMATION MINING & SAFETY IS <br />ADDITIONAL INSURED UNDER GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT. RE: UNIT TRAIN LOADOUT <br />``R °Y CERTIFICATE OF LIABILITY INSURANC 6/1/2013 <br />DA T E 30/201 � ) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER Lockton Companies,LLC 1St. Louis <br />Three City Place Drive, Suite 900 <br />St. Louis MO 63141 7081 <br />(314) 432 -0500 <br />CONTACT <br />R HO g MFI FAx <br />(PJC, No, EXt): I (Arc, No): <br />E -MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A : National Union Fire Ins Co Pittsburgh PA <br />19445 <br />INSURED Rhino Resource Partners, LP <br />1340392 PO Box 1169 <br />Pikeville KY 41502 <br />INSURER B : Lexington Insurance Company <br />19437 <br />INSURER C <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES RHIRE <br />CERTIFICATE HOLDER <br />11318089 <br />STATE OF COLORADO <br />DIVISION OF RECLAMATION MINING & SAFETY <br />1313 SHERMAN ST. <br />ROOM #215 <br />DENVER, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2010/05) <br />223CERTIFICATE NUMBER: 1 <br />CANCELLATION <br />zodsd_o , <br />The ACORD name and logo are registered marks of ACORD <br />• <br />©1988- RD CO RA ON. All rights reserved <br />
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