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ENERG -1 OP ID: PO <br />,4coRL7° CERTIFICATE OF LIABILITY INSURANCE <br />�--�'� <br />DATE 10 /01 /2014 ) <br />10/01 /2014 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Steamboat Select Insurance ` <br />675 Snapdragon Way, Suite 200 axdl/�Q <br />Steamboat Springs, CO 80487 ` <br />Todd A. Hayes, MBA, CIC ¢�i <br />CONTACT <br />NAME: Todd A. Hayes, MBA, CIC <br />PHONE No Exc : 970- 879 -1363 F,o, CC, No): 970 - 879 -0239 <br />E -MAIL <br />ADDRESS: <br />GL0001108004 <br />10/01/2014 <br />6r� <br />L <br />INSURER (S) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Great Midwest Insurance Co <br />18694 <br />INSURED Energy Fuels Corporation <br />Lindsay Yates ec�a <br />PO Box 773457 �O {n &Sauey <br />Steamboat Springs, CO 80 <br />INSURER B: <br />MED EXP (Any one person) <br />INSURER C: <br />X <br />INSURER INSURER D: <br />PERSONAL &ADV INJURY <br />INSURER E: <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO - <br />POLICY [7 LOC <br />OTHER. <br />INSURER F: <br />$ 2,000,000 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSIR <br />TYPE OF INSURANCE <br />ADDLiSUB <br />POLICY NUMBER MM ICY EFF <br />DYYYY <br />MMLDD YYVY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Al OCCUR <br />GL0001108004 <br />10/01/2014 <br />10/0112015 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE T RENTED <br />PREMISEl(,.. ccurrence <br />$ 100000 <br />MED EXP (Any one person) <br />$ 5,000 <br />X <br />Employee Benefits <br />PERSONAL &ADV INJURY <br />$ 1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ PRO - <br />POLICY [7 LOC <br />OTHER. <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP /OP AGG <br />$ 2,000,000 <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />Pe accident) PROPERTY DAMAGE <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DIED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR /PARTNER/EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />if yes, describe „noer— <br />DESCRIPTION OF OPERATIONS below <br />N /A <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />I $ <br />"— "------ <br />E.L. DISEASE -POLICY LIMIT <br />- - - - -- - <br />$ <br />I <br />i <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Cancellation Provisions per attached IL0017 (11 -98) <br />I+CR 1 trl%,A 1 C r1ULUCfC <br />Colorado Division of Reclamati <br />Mining and Safety <br />1313 Sherman Street <br />215 Centennial Buiding, Rm 215 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />© 1988 -2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />