2012-06-04_GENERAL DOCUMENTS - C1980004

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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 M /DDYY) (M M' POLICY EXP IMM /DD/YYYYI LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY y N GL0936045 6/1/2012 6/1/2013 EACH OCCURRENCE $ 1,000,000 $ 1,000,000 $ 10,000 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 $ 2,000,000 PRODUCTS - COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER Y 7 POLIC JEC I X I LOC A AUTOMOBILE X _ — LIABILITY ANY AUTO AUT OWNED HIRED AUTOS _ _ SCHEDULED NON -OWNED AUTOS N N CA935830 6/1/2012 6/1/2013 (E° aBCld D SINGLE LIMIT $ 1 000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX PROPERTY DAMAGE (Per accident) $XXXXXXX $ XXOi Cs(X B XX UMBRELLA LIAR EXCESS LIAB _ OCCUR CLAIMS -MADE N N 013136615 6/1/2012 6/1/2013 EACH OCCURRENCE $ 5,000,000 $ 5,000,000 AGGREGATE Prod - Comp /Op $ 5,000,000 DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED (Mandatory in NH) If DESCRIPTION N OF OPERATIONS Del ow N / A NOT APPLICABLE WC STATU- 0TH - ( TORY LIMITS FR E I FACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE $ XXXXXXX E L DISEASE - POLICY LIMIT $ 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 RECEIVED It 1\1 A A A1119 ACORD° CERTIFICATE OF LIABILITY INSURANCE 1/41,..--/ 6/1/2013 DATE(MM /DD/YYYY) 5/30/2012 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 P Lockton Companies,LLC-1 1St. Louis Three City Place Drive, Suite 900 St. Louis MO 63141 -7081 (314) 432 -0500 CONTACT NAME: PHONE I FAX (A/C, Ext►: (A/C, No): Lo, ADDRESS: INSURERISI AFFORDING COVERAGE NAIC # INSURER A : National Union Fire Ins Co Pittsburgh PA 19445 INSURED Rhino Resource Partners, LP 1340392 PO Box 1169 Pikeville KY 41502 INSURER B : Lexington Insurance Company 19437 INSURER C : INSURER D : INSURER E : INSURER F : CERTIFICATE HOLDER ACORD 25 (2010/05) 11JUII U 'r LU IL CANCELLATION REVISION NUMBER: XXXXXXX Division of Reclamation, Mining & Safety 11318168 DIVISION OF RECLAMATION MINING & SAFETY 1313 SHERMAN ST. 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. AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988 -'fir RD CORITORATION. All rights reserved