2016-10-12_GENERAL DOCUMENTS - C1981010

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ACOR�® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYV) ,0,03,20,6/2016 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 Ann Denver CertRequest@marsh com / FAX 212-948-4381 CONTACT NAME: PHONENo Ext): aC No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC ri INSURER A: Federal Insurance Company 20281 567982 -00125 -ALL -16-17 INSURED TRAPPER MINING INC. PO BOX 187 INSURER B: N/A N/A INSURER C : ACE Property And Casualty Ins Co 20699 INSURER D: CRAIG, CO 81626 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -002928277-39 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 INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MDD/YYYY M/ LIMITS A X COMMERCIAL GENERAL LIABILITY 35907412 10/01/2016 10/01/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F OCCUR DAMAGE T5_7RENTED PREMISESEaoccurrence) $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER*GENERAL AGGREGATE $ 2,000,000 X POLICY 1 PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 DEDUCTIBLE $ 1,000 OTHER AUTOMOBILE LIABILITY COMBINFD SINGI E LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident NON -OWNED HIRED AUTOS AUTOS $ C X UMBRELLA LIAR X OCCUR X00 G27908755 002 10/01/2016 10/01/2017 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB i CLAIMS -MADE DED I X I RETENTION $ 25,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEN OFFICER/MEMBER EXCLUDED / A E L EACH ACCIDENT $ (Mandatory in NH) E L DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE PERMIT#C-81-010 POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES COLORADO DIVISION OF RECLAMATION AND SAFETY DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN STREET - ROOM 215 DENVER, CO 80203 C I" M1 III ,t1I NIC] 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 of Marsh USA Inc. Sharon A. Hammer a-�NN� rE� m 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD