2013-10-04_GENERAL DOCUMENTS - C1981025

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r *irrrtr. P *1r* *1 .: i • U `ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE Orou2o1� 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 HUB International Ins Svcs Inc NAME: Anita Keller a�" o Ext , 970 - 254.3306 A/c, No): 866- 908 -6374 2742 Crossroads Blvd Grand Junction, CO 81506 888 245 -8011 EA DRESS: anita .keiler @hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Employers Mutual Casualty Compa 21415 INSURED S & B Holdings LLC Minrec Inc INSURER 6: MED EXP Any one person) INSURER C PERSONAL & ADV INJURY $1,000,00 627 241/2 Rd Unit H INSURER D: s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- 7 LOC PRODUCTS - COMP/OP AGG Grand Junction, CO 81505 INSURER E. $ INSURER F: CA License #0757776 AUTOMOBILE 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 CONTRACTOR 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 IN SR SUER WVD POLICY NUMBER POLICY EFF MM /DD/YY POLICY EXP MMIDD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51 OCCUR X 3X6490414 9/01/2013 09/01/2014 EACH OCCURRENCE $1,000,000 PREMISES EaEoo u ence $100,000 MED EXP Any one person) $5,000 PERSONAL & ADV INJURY $1,000,00 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- 7 LOC PRODUCTS - COMP/OP AGG s2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS NED "" COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Per aden DAMAGE $ $ UMBRELLA LIAR EXCESS LIAB CLAIMS -MADE A.V00, a� Or�� V EACH OCCURRENCE $ HOCCUR AGGREGATE $ ENTION DEO RET $ $ WORKERS COMPENSATION ANY PROPRIETOR/PARTINER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yyees, describe under DESCRIPTION OF OPERATIONS below NIA Q S\O``,,\ \�G�O M� \` WC STATU- I OTH- E L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: North Thompson Creek Mines, DRMS Permit C- 1981 -025. State of Colorado, Division of Reclamation Mining & Safety Is included as an Additional Insured. 30 days notice of cancellation is provided. State of Colorado Division of Reclamation Mining & Safety 1313 Sherman St, Rm #215 Denver, CO 80203 ACORD 25 (2010/05) 1 Of 1 &Q9Ard79R11U9A91A7A 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 ..1a ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INn9