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2015-10-13_GENERAL DOCUMENTS - C1981010
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2015-10-13_GENERAL DOCUMENTS - C1981010
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Last modified
8/24/2016 6:11:29 PM
Creation date
10/14/2015 9:41:59 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
10/13/2015
Doc Name
Certificate of Insurance
From
Trapper Mining Inc
To
DRMS
Permit Index Doc Type
Insurance
Email Name
TNL
DIH
Media Type
D
Archive
No
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CERTIFICATE OF LIABILITY INSURANCE DATE(/2015 YYYY) <br />10102/2015 <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(les) 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 CONTACT <br />MARSH USA INC. NAME: <br />122517TH STREET, SUITE 1300 PHONE FAX <br />DENVER, CO 80202-5534 A/C No Ext): (A/C, No): <br />E-MAIL -- --- <br />Attn: Denver.CegRequest@marsh.com /FAX 212-948-4381 ADDRESS: <br />S67982 -00125 -ALL -15-16 <br />INSURED <br />TRAPPER MINING INC <br />PO BOX 187 <br />CRAIG, CO 81626 <br />INSURER A: Federal Insurance Company <br />INSURER B ; N/A <br />INSURER C : ACE Property And Casualty Ins Co <br />INSURER D : <br />INSURER E : <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER. SEA -002928277-35 REVISION NUMBER:7 <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 />- ADDL SUBR POLICY EFF POLICY EXP <br />NSR <br />TYPE OF INSURANCE - - -- ---- -- <br />POLICY NUMBER MM/DD/YYYY MM/DD/YYYV LIMITS <br />A X COMMERCIAL GENERAL LIABILITY 35907412 10/01/2015 10/01/2016 <br />EACH OCCURRENCE S 1,000,000 <br />CLAIMS -MADE X OCCUR DAMAGE TO RENTED — _-- - - <br />I GEN'L AGGREGATE LIMIT APPLIES PER. <br />�^ POLICY PRO- — <br />JECT LOC <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />ALL OWNED _ SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS <br />AUTOS <br />X UMBRELLA LIAB X OCCUR <br />EXCESS LIAB _-1 CLAIMS -MADE <br />DED F X RETENTION $25000 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? N / A <br />(Mandatory in NH) <br />If ves. describe under <br />E.L. EACH ACCIDENT $ <br />E . DISEASE - EA EMPLOYE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: PERMIT#C-81-010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. <br />CERTIFICATE HOL <br />CANCELLATION <br />COLORADO DIVISION OF RECLAMATION <br />AND SAFETY DEPARTMENT OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />1313 SHERMAN STREET - ROOM 215 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />DENVER, CO 80203 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Sharon A. Hammer Q <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />PREMISES_ Ea occurrence $ 1,000,000 <br />MED EXP (Any one person) 1 $ 10,000 <br />PERSONAL & ADV INJURY $ 1,000,000 <br />GENERAL AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />__ <br />DEDUCTIBLE $ 5,000 <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ - - - <br />Per accident <br />10101/2015 <br />10/01/2016 <br />EACH OCCURRENCE $ 1,000,000 <br />AGGREGATE $ 1,000,000 <br />$ <br />E.L. EACH ACCIDENT $ <br />E . DISEASE - EA EMPLOYE $ <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: PERMIT#C-81-010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. <br />CERTIFICATE HOL <br />CANCELLATION <br />COLORADO DIVISION OF RECLAMATION <br />AND SAFETY DEPARTMENT OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />1313 SHERMAN STREET - ROOM 215 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />DENVER, CO 80203 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />of Marsh USA Inc. <br />Sharon A. Hammer Q <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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