2014-06-09_GENERAL DOCUMENTS - C2008086

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C-zG��- fl-I P3 ACORb- CERTIFICATE OF LIABILITY INSURANCE 6/1/2015 DATE (MM /DD/YYYY) 1 5/28/2014 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 Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 c 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 PO Box 1169 ��,� 0 g 2014 Pikeville KY 41502 C31 Reclam at10C�• l i1 & Safety INSURER B : Lexington Insurance Company 19437 INSURER C : 1,000,000 INSURER D: MED EXP (Any one person) INSURER E: INSURER F: PERSONAL & ADV INJURY C0VFRAGF3 RHIRF. CERTIFICATE NUMBER: 11319073 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y N GL1903168 6/1/2014 6/1/2015 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 MED EXP (Any one person) 10,000 PERSONAL & ADV INJURY $ 1,000,000 POLICY PEC LOC POTHER L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 PRODUCTS - COMP /OP AGG $ 2 OOO OOO $ A AUTOMOBILE LIABILITY X ANY AUTO AUTOS NED SCHEDULED UTS NON -OWNED HIRED AUTOS AUTOS N N CA5775970 6/1/2014 6/1/2015 Ca BINEDtSINGLE LIMIT $ 1000000 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 6/1/2014 6/1/2015 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 DED I I RETENTION $ Prod.- Comp /Op $ 5,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If DESCRIPTION OF OPERATIONS below N / A NOT APPLICABLE ER STATUTE OETgH E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE XXXVXvVXvXvX E.L. DISEASE - POLICY LIMIT XXXXXXX 'I E DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required) NAMED INSURED INCLUDES CAM - COLORADO, LLC. STATE OF COLORADO, DIVISION OF RECLAMATION MINING & SAFETY IS ADDITIONAL INSURED UNDER GENERAL LIABILITY. RE: RED CLIFF MINE %,Cr%I IrIVH I C rIVLUCr% 1 11 11318073 STATE OF COLORADO DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. ROOM #215 DENVER, CO 80:73 ACr1Rn 75 /7n1d /n'II 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 n1 The ACORD name and logo are registered marks of ACORD 4w RATION. All riahts reserved