2015-10-19_GENERAL DOCUMENTS - C1981010

Home Browse Search

ACORN® CERTIFICATE OF LIABILITY INSURANCE D DATE (MMD/YYYY) 10/02/2015 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 MARSH USA INC 122517TH STREET, SUITE 1300 DENVER, CO 80202-5534 Attn Denver CertRequest@marsh corn I FAX 212-948-4381 CONTACT NAME: PHONE FAX ac No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Federal Insurance Company 20281 S67982 -00125 -ALL -15-16 INSURED MINING INC TRAPPER PO BOX 187 INSURER B: N/TRAPPER INSURER C : ACE Property And Casualty Ins Co 20699 INSURER D: CRAIG, CO 81626 INSURER E: INSURER F : CAVFRAGFS CERTIFICATE NUMBER: SEA -002928277-37 REVISION NUMBER:7 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 OF INSURANCE ADDLTYPE IN= WVD SUER POLICY NUMBER LICY EFF MM /DD/YYYYI POLICY EXP (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 35907412 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1_x I OCCUR DAMAGE ToRENTED PREMISES (E. occu encs) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY � PRO JECT ❑ LOC DEDUCTIBLE $ 5,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident C X UMBRELLA LIAB X OCCUR G27908755001 10/01/2015 10/01/2016 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 25,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE - OFFICER/MEMBER EXCLUDED N / A PER OTH- STATUTE ER EL EACH ACCIDENT $ (Mandatory in NH) EL DISEASE - EA EMPLOYE $ EL DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RECEIVED RE PERMIT#C-81-010 POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES OCT 1 C, 2015 Division of Reclamation, Mining & Safety CFRTIFICATF Nnl nFR CANCELLATION COLORADO DIVISION OF RECLAMATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AND SAFETY DEPARTMENT OF NATURAL RESOURCES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1313 SHERMAN STREET - ROOM 215 ACCORDANCE WITH THE POLICY PROVISIONS. DENVER, CO 80203 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Sharon A. Hammer <:?IR— -., Q - -Al�e _� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD