2012-08-02_GENERAL DOCUMENTS - C1980007

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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 (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY INSURED Mountain Coal Company, L L C P 0 Box 591 1 Mile East of Somerset - Hwy 133 Somerset, CO 81434 INSURER B GL 093 61 11 *$500,000 general aggregate applies p er location 07/31/2012 07/31/2013 EACH OCCURRENCE $ 300,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR PERSONAL & ADV INJURY $ 300,000 X Explosion Liability (XCU) GENERAL AGGREGATE $ 500,000 PRODUCTS - COMP /OP AGG $ 500,000 GEN'L AGGREGATE 7 POLICY LIMIT APPLIES PRO- JECT X PER LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED NON OWNED AUTOS / • COMBINED SINGLE LIMIT (Ea accident) _$ $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE ( Per accident) $ MARY E. EIKM:IER Notary PiibIic - Not ry SPal $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE State of Miss' Commissioned for St. My Commission Expires: Dec Cnmmicsifn NUmher n ' uis County mber 02, 2015 11504611 EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY OFFICER/MEMBER EXCLUDED'? PROPRIETOR/PARTNER/EXECUTIVE I N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- TORY LIMITS OTH- ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / 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 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. C • � - REP SENTATIVE of Ma ' • In 4,,,,_ (Or:. 1 C __t_ , ______ / 1 • t1 U 4. U ACORO CERTIFICATE OF LIABILITY INSURAN 4 1.....-- -- IVISiOm of Kxl DATE (MMIDD/YYYY) I Q7/30/2012 nlatlpn THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TiklinjrfirRIVAtiV THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AF RDED BY HE 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 Marsh USA Inc 701 Market Street, Suite 1100 St Louis, MO 63101 -1830 Attn stouts certrequest @marsh com; 212 - 948 -0811 001950— Reg -12 -13 Y CONTACT PHON: OE FAX (A/CN o. Ext)• (NC, No): E -MAIL ADDRESS INSURER(S) AFFORDING COVERAGE NAIC # INSURER A . National Union Fire Ins Co Pittsburgh PA 19445 INSURED Mountain Coal Company, L L C P 0 Box 591 1 Mile East of Somerset - Hwy 133 Somerset, CO 81434 INSURER B INSURER C . INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE HOLDER ACORD 25 (2010/05) CERTIFICATE NUMBER: CHI - 004084888 - 30 CANCELLATION RECEIVED REVISION NUMBER: 12 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD