2013-06-03_GENERAL DOCUMENTS - C1981020

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ACORN® CERTIFICATE OF LIABILITY INSURANCE �/ 6/1/2014 DATE 5 /30 /DD/YYYY) 5/30/2013 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 (314) 432 -0500 CONTACT NAME: A/C No Ext : A/C No): E -MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED Rhino Resource Partners LP 1340392 CAM Minin7al LLC PO Box 1109 Pikeville KY 41502 INSURER B: Lexington Insurance Company 19437 INSURER C: GL1903168 INSURER D: 6/1/2014 INSURER E: 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY COVERAGES FAIRE CERTIFICATE NUMBER: 11291473 REVISION NUMBER: XXXXXXX 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 TR TYPE OF INSURANCE ADDL IN SR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP (MMIDDIYYYYI LIMITS A GENERAL LIABILITY N N GL1903168 6/1/2013 6/1/2014 EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea RENTED ) $ 1,000,000 MED EXP (Any one person) 10,000 CLAIMS -MADE Fx—] OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 PRO- POLICYFI JECT FRI LOC $ A AUTOMOBILE LIABILITY N N CA5775970 6/1/2013 6/1/2014 (CO aBIN DiSINGLE LIMIT $ 1 OOO OOO BODILY INJURY (Per person) $ XXXXXXX X ANY AUTO AUTS OWNED SCHEDULED BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE Per accident $ XXXXXXX NON -OWNED HIRED AUTOS AUTOS $ XXXXXXX B X UMBRELLA LIAB OCCUR N N 013136615 6/1/2013 6/1/2014 EACH OCCURRENCE $ 5,000,000 HCLAIMS-MADE AGGREGATE $ 5,000,000 EXCESS LIAB DED RETENTION $ Prod - Comp /Op $ 5,000,00 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEM ER EXCLUDED ECUTIVE ❑ (Mandatory in NHI If yes, describe under DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE WC STATU- I OTH- TORY LIMITS E L EACH ACCIDENT V V $ XXXXXXX E L DISEASE - EA EMPLOYEE X E L DISEASE POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RECEIVED RE MUNGER CANYON MINE, DRMS PERMIT 1981 -020 JUN 0 3 2013 DIVISION OF RECLAMATION MINING AND SAFETY CERTIFICATE HOLDER CANCELLATION 11291473 DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN STREET ROOM 215 DENVER CO 80203 ACORD 25 (2010/051 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. n1 The ACORD name and logo are registered marks of ACORD All riahts reserved