2013-06-04_GENERAL DOCUMENTS - C1981041

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. 1'ki CERTIFICATE OF LIABILITY INSURANCE �� 6n/2o14 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 O St. Louis MO 63141 -7081 _ `�j (314) 432 -0500 �l -rdWNSURER CONTACT NAME: A/c No Ext : A/C No): E -MAIL ADDRE INSURER AFFORDING COVERAGE NAIC # A: National Union Fire Ins Co Pittsburgh PA ] 9445 INSURED Rhino Resource Partners, LP � 1340392 PO Box 1169 Pikeville KY 41502 ,� �0 \� INSURER B: Lexin ton Insurance Company 19437 INSURER C : EACH OCCURRENCE INSURER D: PREMISES (Ea RENTED ) INSURER E: MED EXP (Any one person) INSURER F PERSONAL & ADV INJURY COVERAGES RHIRE CERTIFICATE NTMM13ER: 11318168 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR Y N GL1903168 6/1/2013 6/1/2014 EACH OCCURRENCE 1,000,000 PREMISES (Ea RENTED ) $ 1,000,000 MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO - POLICY Q. X LOC PRODUCTS - COMP /OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO AUT OWNED SCHEDULED NON -OWNED HIRED AUTOS AUTOS N N CA5775970 6/1/2013 6/1/2014 CO a.,dentSINGLE 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 N N 013136615 6/1/2013 6/1/2014 EACH OCCURRENCE $ 5,000,000 HCLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION $ Prod - Comp /Op $ 5,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE F7 OFFICER/MEMBER EXCLUDE D (Mandatory in NH) If yes, descnbe under DESCRIPTION OF OPERATIONS below N/A NOT APPLICABLE WC STATU- OTH- TORY LIMIT E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE XXXXXXX E L DISEASE - POLICY LIMIT V v V XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) NAMED INSURED INCLUDES MCCLANE CANYON MINING, LLC SNOWCAP COAL COMPANY, INC., A DELAWARE CORPORATION, IS ADDITIONAL INSURED UNDER GENERAL LIABILITY AS REQUIRED BY WRITTEN CONTRACT. RE COAL REFUSE DISPOSAL CERTIFICATE HOLDER CANCELLATION 11318168 DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80203 ACORD 25 12010/051 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1 The ACORD name and logo are registered marks of ACORD All riahts reserved