2013-06-04_GENERAL DOCUMENTS - C2010088

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. 6-_ R CERTIFICATE OF LIABILITY INSURANCE �,� 6/1/2o1a DATE(MM/D'173 ) 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 O Three City Place Drive, Suite 900 �j St. Louis MO 63141 -7081 le A (314) 432-0500 � ,0% NAME: AX a/c No Ext : A/C No): E -MAIL ADDRESS: IN RER AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED CAM Colorado, LLC "� 1340392 PO Box 1169 (1iiC Pikeville KY 41502 �jOF INSURER B : LCXIn toil Insurance Com an 19437 INSURER C : EACH OCCURRENCE INSURER D PREMISES (ERENTED nce INSURER E: MED EXP An one person) INSURER F: PERSONAL 8 ADV INJURY COVERAGES RHIRE CERTIFICATE NUMBER: 12139435 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 IN SR SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DDIYYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Y N GL1903168 6/1/2013 6/1/2014 EACH OCCURRENCE 1,000,000 PREMISES (ERENTED nce 1 000,000 MED EXP An one person) 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRO- POLICY X JECT 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 Ea COMBINED SINGLE LIMIT $ 11000,000 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 AN PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED (Mandatory , in NH) DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE WC STATU- OTH- TORY LIMITS E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE XXXXXXX E L DISEASE - POLICY LIMIT A XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES /(Attach 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. 12139435 STATE OF COLORADO DIVISION OF RECLAMATION MINING AND SAFETY 1313 SHERMAN ST. RM #215 DENVER CO 80203 ArORD 25 /2010/17151 %1AN%1r_LLA 1 IUIY 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 RATIUN. All riahts reserved