2013-08-12_GENERAL DOCUMENTS - C1980007

Home Browse Search

RECEIVED x,122013 ACORN' �,�,ERTIFICATE OF LIABILITY INSURANCE 7/31/2014 DATE(MM /DD/YYYY) 7/31/2013 T ') $406 D AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERT 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 : (AIC, No): E -MAIL ADDRESS: INSURER(S) AFF RDIN COVERAGE NAIC # INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED Mountain Coal Company LLC 1369402 P.O. Box 591 Somerset CO 81434 INSURER B: 7/31/2013 INSURER C : EACH OCCURRENCE INSURER D: PREMISES TOEa RENTED INSURER E: MED EXP (Any one person) INSURER F: PERSONAL & ADV INJURY COVERAGES ARCCO CERTIFICATE NUMBER: 12471691 REVISION NHMRFR- 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 NND POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /D IYYYY LIMITS A GENERAL LIABILITY • COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FT1 OCCUR • XCU & Subsidence PD N N GL936111 7/31/2013 7/31/2014 EACH OCCURRENCE 5,000,000 PREMISES TOEa RENTED 2,000,000 MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY $ 5,000,000 • Policy Gen AGG $25M GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER P LICY X JE ° X LOC PRODUCTS - COMP /OP AGG $ 5,000,000 $ AUTOMOBILE LIABILITY ANY AUTO AUT OWNED SCHEDULED HIRED AUTOS NON- OWNED NOTAPPLIC OMBINED SINGLE LIMIT aaccldent $ XXXXXXX LE STEPHA Notary f STAT Sai Comm mmi I IE LONGAI lublic - Nota OF MISS•'URI t LOUIS COU #10122 n Expires ECKFR SL.dI ty S ec 2C, :'01, ODILY INJURY (Per person) $XXXXXXX I ODILY INJURY (Per accident $ Xy,_XXXXX OPER Y DAMAGE $ XXXXXXX , $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE _ EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' ❑ (Mantlatory in and If yes, tlescnbe under DESCRIPTION OF OPERATIONS below N/A NOT APPLICABLE WC STATU- I OTH- TORY LIMITS FIR E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE XXXXXXX E L DISEASE - POLICY LIMIT `7V X XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) COVERAGE IS INCLUDED FOR SURFACE COAL MINING AND RECLAMATION OPERATIONS INCLUDING THE USE OF EXPLOSIVES. C -80 -007 WEST ELK MINE CERTIFICATE HOLDER CANCELLATION See Attachment 12471681 COLORADO DEPT. OF NATURAL RESOURCES DIVISION OF RECLAMATION, MINING & SAFETY 1313 SHERMAN STREET, ROOM 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. REPRESENTATIVE I� L ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD