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2016-10-06_GENERAL DOCUMENTS - C1981010
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2016-10-06_GENERAL DOCUMENTS - C1981010
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Entry Properties
Last modified
4/27/2018 3:21:16 PM
Creation date
10/11/2016 12:59:54 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
General Documents
Doc Date
10/6/2016
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 <br />TSN <br />TYPE OF INSURANCEpPDPy.P�� <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 INSURERIS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER <br />IMPORTANT: If Me Certificate h.1der Is an ADDITIONAL INSURED, NSU Dolicy(ies) must he entlorsed. H SUBROGATION IS WAIVED, subject N <br />tho terms and condiflons of Mm policy, certain Policies may require an endorsement A statement on this cartiRcate does not confer PENN W the <br />certlflcaN holder in lieu of such endomemen s). <br />PROD KBITOONTACT <br />MARSH USA INC. <br />NIURF <br />122517H STREET SUITE 1300,yp <br />DENVER, GO R020Jd5X <br />Ann:IkmcrCMlbgNsl®marsn mm l FAX 212-9184981 <br />rm Pm. I. <br />F xP <br />WPWV <br />ADDREM: <br />IMIRE S AFFORDIXDCWEAADE xpIC1 <br />20201 <br />WSURER A: FeJBal lnauralLe CanPanYINSURED <br />SSM82-0012SN1-161) <br />TRAO'E <br />TW3PER MINING INC. <br />NwRER 6: NIA NIA <br />PO <br />CRA BOXCO2B16'Zs <br />INSURER C: AGE PR4MM AM CMU* lm CD 20099 <br />INSURER D: <br />oMVRERE: <br />IxwRER F: <br />n ABOVEFOR <br />ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES UI INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED DOCUMENT <br />CONDITION OF Y CONTRACT OR OTHER DOCUMENT 00TH RESPECT TO WHICH THIS <br />INDICATED, NOTMTHSSSUED O ANY Y PERTAIN, <br />TERM A EAFFORDED <br />THE <br />CERTIFICATE MAY O ISSUED OR MAY POLICIE TIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TSN <br />TYPE OF INSURANCEpPDPy.P�� <br />359T2412 <br />MPOIICY EFF <br />1=1016 <br />MI ESP <br />IN112917 <br />UNITSA <br />X OOMMERCIALGENEMLLABI <br />OOCCUR <br />EACH OCCURNE"si.n1m0,000CWMSMADE <br />PREMI E6 R3,DODMED <br />EXP My onne10,Db.%RSONALBADV0,000GEN'L <br />AGGREGATE LIMIT NVUES PER: <br />APPRODUCTS. <br />GENERALAGGRE.000XPoUCY <br />COM0,003OTHER: <br />DEWCHLiLE,000 <br />AUIPMB <br />BRE LMBREry <br />EaamNOEm BIN LINn E <br />ANY AUTO <br />AULpYml) <br />ONNED SCHEDULED <br />AUTOS AUTOS <br />BONLY INJURY (Pa-E <br />BOOILYIWIIRY(P aconin, S <br />HIREDAUTOS AN Q.ED <br />I--- <br />PROPERTY OAMAGE <br />s- <br />suxeREupLWa <br />UMBRELLA LAB <br />ESCESR LAB <br />X <br />rxcuR <br />GLAIMSMALE <br />%00 GZI90B255002 <br />16011X116 <br />101017 <br />EACHOCCIIRRENCE s 1QU.0 <br />AGGREWTE E 1=00000 <br />0 <br />OED X RE7EMIONE25 CC) <br />WJNXEIL OMPENSATION <br />YEWILUUMUT <br />AXOFMPLOYERR'WMMry YIN <br />�ICEflMEMBEERREXCLUDEMECMMN <br />E <br />NIA <br />PER OTH- <br />STAT ER <br />EL EACH ACCIDENT E <br />(Ma14LIny In XX) <br />D Se FIPTON OFF <br />DESCRIPTION CF OPERATIONS EMax <br />ELgSEASE-EA EMPLOY E <br />EL OISEA9E-WUCY LIMIT E <br />OE <br />PERMIiPIEWIT OFOPERg1NIN$ILOG1pN$I VFNILLFB P,COR01BI, pEpXplul WnnHa SCNNUM. noYOe XUCMp Rmwepen M 2gW1e4) <br />FE pG81-010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. <br />RECLAMATION WI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />RONd21TURALRESRGES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ROOM 215 ACCORDANCE WITH THE POLICY PROVMIONB. <br />M Marts USA Inc. <br />Sharon A. Hammer <br />•=..•.v.v ,•n••m anu loyv are rcgmTerao mains M ACUHU <br />
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