2012-06-11_GENERAL DOCUMENTS - C1991078

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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 /DIYWYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Honeywood Coal Company C/O John Rich /LBMC Family Office P.O. Box 1869 Brentwood TN 37024 INSURER B. 680 6239N556 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1, 000 , 000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ r INSURER F: CLAIMS -MADE X OCCUR MEDEXP(Anyoneperson) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PRO - IFCT PER LOC PRODUCTS - COMP /OP AGG $ Excluded $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) _$ $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY OFFICER /MEMBER EXCLUDED' I (Mandatory In NH) If yes descnbe under DESCRIPTION OF OPERATIONS below N / A WC STATU- TORY I NITS OTH- FR E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Renarks Schedule, if more space is required) Hamilton Mine, Permit No. C -91 078 30 Day Notice of Cancellation applies except for 10 Day Notice of Cancellation due to non payment of premium. AC•Ra CERTIFICATE OF LIABILITY INSURANCE kllam.■ DATE(MM/DD/YYYY) 6/6/2012 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 Wade & Egbert Insurance Partners 40 Burton Hills Blvd., #170 P.O. Box 150229 Nashville TN 37215 -0229 CONTACT Linda Inman NAME. Mel. .Fxt): (615) 383 -9061 (A/C .No): (615)383 -0591 Ap @wade - egbert.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Travelers Indemnity 25658 INSURED Honeywood Coal Company C/O John Rich /LBMC Family Office P.O. Box 1869 Brentwood TN 37024 INSURER B. INSURER C: INSURER D: INSURERE: INSURER F: COVERAGES CERTIFICATE HOLDER ACORD 25 (2010/05) INS025 (201005) 01 CERTIFICATE NUMBER:CL12 7 CANCELLATION REVISION NUMBER: Colorado 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 Alex Wade /CHE ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD