2013-01-18_GENERAL DOCUMENTS - C2010088

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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 WVD POLICY NUMBER POLICY EFF (MM /DD /YYYY) POLICY EXP (MM /DD/YYYY) LIMITS NAIC # GENERAL \ CUMME LIABILITY RC IAL GENERAL CLAIMS - MADE X LIABILITY OCCUR y N GL0936045 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1,000,000 $ 1,000,000 $ 10,000 PREMI (E o ccu r ence) MED EXP (Any one person) 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 POLICYI A I JECT I I LOC A AUTOMOBILE X _ _ LIABILITY ANY AUTO A OS HIRED AUTOS _ SCHEDULED NON -OWNED AUTOS N N CA0935830 6/1/2012 6/1/2013 Ea acetdeDn SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE (Per accident) $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 AGGREGATE $ 5,000,000 Prod - Comp /Op $ 5,000,000 DED I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY AAOPRIETORIPARTNER(EXECUTIVE U( FIVER MEMBER EXCLUDED' (Mandatory In NH) u ,.:. e�.,aa• '�nde� UEY RIPTION OP OPERAI IONS below Y / N N / A NOT APPLICABLE I ORY STATU- I 10TH- FR E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE $ XXXXXXX E L DISEASE - POLICY LIMIT v $ XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I(A tach ACORD 101, Additional Remarks Schedule, if more space is required) RE. UNIT TRAIN LOADOUT DRMS PERMIT # C- 2010 -088. STATE OF COLORADO RECLAMATION AND SAFETY IS ADDITIONAL INSURED UNDER GENERAL LIABILITY WHERE REQUIRED BY WRITTEN CONTRACT. A CORN° CERTIFICATE OF LIABILITY INSURANCE L...---- 6/1/201 DATE /20 /YYYY) 1/14/2013 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 Lockton Companies,LLC -1 St. Louis Three City Place Drive, Suite 900 St Louis MO 63141 -7081 N O (314) 432 -0500 �y e% * ° 1 % \� V n \ ' CONTACT PHONE FAX (A/C, No, Ext): (A/C, No): A ADD DREDRE SS: INSURERISI AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins Co Pittsburgh PA 19445 INSURED CAM Colorado, LLC w\ a � \�� 1340392 PO Box 1169 \P \v ��ecY' L� Pikeville KY 41502 J o i o O� \'� �\ G *\C\ INSURER B : Lexington Insurance Company 19437 INSURER C: INSURER D : INSURER E INSURER F : COVERAGES RHIRE CERTIFICATE HOLDER ACORD 25 (2010/05) CERTIFICATE NUMBER: 12139435 CANCELLATION The ACORD name and logo are registered marks of ACORD REVISION NUMBER: XXXXXXX 12139435 STATE OF COLORADO DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN ST. RM #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 ©1 ORD CO ORA N. All rights reserved