2012-06-20_PERMIT FILE - C2010089A

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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 SUBR POLICY EFF POLICY EXP INSR AND POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR 008844193 01/01/11 01/01/12 EACH OCCURRENCE $ 1,000,000 PR SRENTED PREMISES I E ( (Ea occurrence) $ 100,000 CLAIMS -MADE MED EXP (Any one person) $ PERSONAL & ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: LOC PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY PRO - .IFf:T Employee Benefits $ 1,000,000 3 AUTOMOBILE X X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CAB 0032921 02 O1 /01 /1I 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ C UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BE 21446419 01/01/11 01/01/12 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25, 000, 000 DEDUCTIBLE RETENTION $ 50,000 $ X $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A WC STATU OTH TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Evidence of Insurance as respects New Horizon North Mine in Nucla, CO (Permit #C- 2010 -089). Includes use of Explosives ActaRe CERTIFICATE OF LIABILITY INSURANCE 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(les) 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 1- 612 - 333 -3323 Hays Companies 80 South 8th Street Suite 700 Minneapolis, MN 55402 INSURED Western Fuels Association, Inc. P.O. Box 33424 Denver, CO 80233 CONTACT NAME: PHONE (A/C. No. Ertl: FAX (A /C, No): E -MAIL ADDRESS: PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE INSURERA: LEXINGTON INS CO INSURER B: ARCH INS CO INSURERC: NATIONAL UNION FIRE INS CO OF PITTS INSURER D : INSURER E : INSURER F : DATE (MM /DD/YYYY) 01/07/2011 NAIC # 19437 11150 19445 COVERAGES CERTIFICATE HOLDER 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 Colorado Mined Land Reclamation Board Division of Reclamation, Mining & Safety 313 Sherman Street, RM 215 'Denver, CO 80203 jhargrove ACORD 25 (2009/09) 19272374 CERTIFICATE NUMBER: 19272374 USA CANCELLATION REVISION NUMBER: © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD