2013-10-01_GENERAL DOCUMENTS - C1981014

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ENERG -1 OP ID: T5 '`t�.,,,O1e° CERTIFICATE OF LIABILITY INSURANCE DATE(M26/1YYY) 09/26/13 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 Phone: 970 - 879 -1363 Brown & Brown Insurance 675 Snapdragon Way, Suite 200 Fax: 970 - 879 -0239 Steamboat Springs, CO 80487 Todd A. Hayes CONTACT NAME: HOE FAX Ext: A/C No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC q INSURER A: Great Midwest Insurance CO 18694 INSURED Energy Fuels Corporation Lindsay Yates PO Box 773457 Steamboat Springs, CO 80477 -3457 INSURER B: Denver, CO 80203 INSURER C: INSURER D: INSURER E $ 1,000,00 INSURER F: $ 100,00 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 Colorado Division of Reclamati ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER POLICY EFF MM /DD /YYYY POLICY EXP MM /DD /YYYY LIMITS 1313 Sherman Street, Rm 215 GENERAL LIABILITY Denver, CO 80203 EACH OCCURRENCE $ 1,000,00 TED PREMISES (Ea occurrence) $ 100,00 A X COMMERCIAL GENERAL LIABILITY GL0001108003 10/01/13 10/01/14 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X Employee Benefits GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,00 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED' F—] N/A WC STATU- OTH- TORY LIMITS ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT 1 $ IRECENFED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Southfield Mine - Permit #C -81 -014. OCT 01 ZOO J DMSION OF RECLAMATION MINING AND SAFETY CFRTIFICOTF I40I DFR CONCFI I OTIAN CNATURA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Colorado Division of Reclamati ACCORDANCE WITH THE POLICY PROVISIONS. Mining and Safety AUTHORIZED REPRESENTATIVE Division of Minerals & Geology 1313 Sherman Street, Rm 215 Denver, CO 80203 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD