2014-10-06_GENERAL DOCUMENTS - C1981014

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ENERG -1 OP ID: PO ,4coRL7° CERTIFICATE OF LIABILITY INSURANCE �--�'� DATE 10 /01 /2014 ) 10/01 /2014 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 Steamboat Select Insurance ` 675 Snapdragon Way, Suite 200 axdl/�Q Steamboat Springs, CO 80487 ` Todd A. Hayes, MBA, CIC ¢�i CONTACT NAME: Todd A. Hayes, MBA, CIC PHONE No Exc : 970- 879 -1363 F,o, CC, No): 970 - 879 -0239 E -MAIL ADDRESS: GL0001108004 10/01/2014 6r� L INSURER (S) AFFORDING COVERAGE NAIC # INSURER A: Great Midwest Insurance Co 18694 INSURED Energy Fuels Corporation Lindsay Yates ec�a PO Box 773457 �O {n &Sauey Steamboat Springs, CO 80 INSURER B: MED EXP (Any one person) INSURER C: X INSURER INSURER D: PERSONAL &ADV INJURY INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO - POLICY [7 LOC OTHER. INSURER F: $ 2,000,000 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. INSIR TYPE OF INSURANCE ADDLiSUB POLICY NUMBER MM ICY EFF DYYYY MMLDD YYVY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Al OCCUR GL0001108004 10/01/2014 10/0112015 EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED PREMISEl(,.. ccurrence $ 100000 MED EXP (Any one person) $ 5,000 X Employee Benefits PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO - POLICY [7 LOC OTHER. GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ Pe accident) PROPERTY DAMAGE $ $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) if yes, describe „noer— DESCRIPTION OF OPERATIONS below N /A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE I $ "— "------ E.L. DISEASE -POLICY LIMIT - - - - -- - $ I i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Cancellation Provisions per attached IL0017 (11 -98) I+CR 1 trl%,A 1 C r1ULUCfC Colorado Division of Reclamati Mining and Safety 1313 Sherman Street 215 Centennial Buiding, Rm 215 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 © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD