Laserfiche WebLink
DATE(MM/DD/YYYY) <br /> ACORO® CERTIFICATE OF LIABILITY INSURANCE <br /> 04/2612024 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DQES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> MARSH USA LLC. NAME: Marsh I U.S.Operations <br /> PHONE 525 Vine Street,Suite 900 (A/C.No.Ext): (866)966-4664 FAX <br /> No): <br /> Cincinnati,OH 45202 ' <br /> E-MAILADDRESS: Cincinna6.CertRequest@marsh.com <br /> ;.c° E-MAIL <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> _ INSURER A: Houston Specialty Insurance Company 12936 <br /> INSURED "' INSURER B: Imperlum Insurance Company 35408 <br /> Wolverine Fuels,LLC <br /> Attn:Marc Maglione,Chief Financial Officer '` INSURER C: James River Insurance Compa y 12203 <br /> 9815 South Monroe Street,Suite 203 INSURER D: N/A N/A <br /> Sandy,UT 84070 <br /> INSURER E: N/A N/A <br /> INSURER F: N/A N/A <br /> COVERAGES CERTIFICATE NUMBER: CLE-006879673-11 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDLL SUBR� POLICY EFF POLICY EXP LIMITS <br /> LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) <br /> A X COMMERCIAL GENERAL LIABILITY MNG - c1.1;..0-1,1 05/01/2024 05/01/2025 EACH OCCURRENCE $ 1,000,000 <br /> • '‘ft"' II D- DAMAGE TO RENTED <br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 <br /> MAY MED EXP(Any one person) $ 5,000 <br /> 0 224 PERSONAL&ADVINJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: D VISION OF I�"E(;LAMA.rIOI�C GENERAL AGGREGATE $ 2,000,000 <br /> PRO- <br /> X POLICY JECT LOC MINING AND SAFTEY PRODUCTS-COMP/OPAGG $ 2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY MNG-IIC-CA-0000107-02 05/01/2024 05/01/2025 COMBINED SINGLE LIMIT $ 1,000,000 <br /> l (Ea accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY (Per accident) <br /> $ <br /> A UMBRELLA LIAB X I OCCUR MNG-HS-CX-0000003-02 05/01/2024 05/01/2025 EACH OCCURRENCE $ 5,000,000 <br /> X EXCESS LIAB CLAIMS-MADE PRIMARY EXCESS AGGREGATE $ 5,000,000 <br /> C DED RETENTION$ _1 00130439-0(1ST XS LAYER) 05/01/2024 05/01/2025 Ea Occ/Agg,xs$5M $ 5,000,000 <br /> WORKERS COMPENSATION PER OTH- <br /> STATUTE ER <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatory in NH) I E.L.DISEASE-EA EMPLOYEE $ <br /> If yes,describe under i <br /> DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re:Bowie#2 Mine Permit#C1996083 and Bowie#1 Mine Permit#C1981038.General Liability policy provides protection for <br /> use of explosives. <br /> CERTIFICATE HOLDER CANCELLATION <br /> State of Colorado Department of SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Natural Resource THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Div of Minerals&Geology ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1313 Sherman St,Room 215 <br /> Denver,CO 80230 <br /> AUTHORIZED REPRESENTATIVE <br /> I <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />