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ACORO" <br />ENERG-1 <br />CERTIFICATE OF LIABILITY INSURANCE <br />01P 10: Ll <br />wte (lar°Dmm <br />„risfse,e <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER 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: H the certificate holder is an ADDITIONAL INSURED, the policy(les) must haw ADDITIONAL INSURED provisions or be endorsed. <br />H SUBROGATION IS WANED, subject to the terms and conditions of the Policy, certain policies may require an a donwront. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such s . <br />PRODUCER 970-879-1363 <br />Todd A. Hayes, MBA, CIC <br />Steamboat Select Insurance Orp <br />PHONE E 970-879-1 363 F N, 970-8794439 <br />P.O. Box 77511A <br />--- - — — --_-- <br />Steamboat Sprin�gs�,R CO 60477 <br />Todd A Hayes, MIBA4 CIC <br />N A, Great Midwest Insurance Co 18684 <br />asuRM Energy Fuels Corporation <br />INSURERS. — <br />moo= C. <br />Undsay Yates <br />-- - <br />PO Box 773457 <br />Steamboat Springs, CO 80477-3457 <br />INSURER F; <br />TMS M 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 CLAW. <br />~ <br />A <br />rm of NeURANrx_- __ <br />X DOINN!RGIIL Gp1EML LYIBLITY <br />CLAIMS -MADE[ -X-1 occuR <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />/OLICY IIINABEIa <br />______ <br />L00011080-06 <br />ACCORDANCE wmD THE POLICY PROVISIONS <br />Lee" <br />1aov20,s <br />1ao1r2o17=10,= <br />1.000,000 <br />OCCURRENCE <br />TED i <br />100,000_ <br />5,000 <br />PERSONAL & ADV INJURY S 1,000,000 <br />T LIMIT PER <br />X A�OLICY ( -1 za L� <br />OTHER L_J <br />TE 2,000,000 <br />T 21000,000 <br />-- - <br />AUTOMOBILE LWLMmddwM <br />AppNyW�YN.�A��UUpTO <br />AUTOS ONLY AUIOS UED <br />��REp NpN.pyR.�Ep <br />AUTOS OHLY AUTOS ONLY <br />INEO SINGLE LMT <br />BOULYIg�p� N r Dwsom <br />Y <br />INJURY OW accW660 8 <br />E <br />UMLRSIA LMB <br />LAA <br />OCCUR <br />EACH OCC- ENCEexcess <br />AGGREGATE <br />RETENTIONS <br />�R,ppDppEeeDss <br />ANOaM/LOYMaIJTY -_ YIN <br />ANY PrtOPR RTNEAJE%ECUTNE <br />��ExCLUDED? LJ <br />M ,dwMeeE.L. <br />,dder <br />RAT bNow <br />N/AE.L. <br />EACH ACC40EW <br />SEASE - EA EMPLOYEE <br />DISEASE - POUCY LOOT <br />I <br />yesC�JgypE,O/MAIIDNt�LOCA71Q!(1 LYyRCLes (wCpRD fef. Ad*0." R.,.ras scnwr...r a mcuea r,wen y.e. b,.q.Lna) <br />PAwr-cf I ATh-w <br />CNATURA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W <br />ACCORDANCE wmD THE POLICY PROVISIONS <br />Colorado Division of Reclamsti <br />Mining and Safety <br />Division of Minerals 3 Geology <br />1313 Sherman Street, Rin 215i0enver. <br />AU11gR¢[DlenxaewrAnvc _ <br />CO 80203 <br />ACORD 25 (2016/03) ®19116.2015 ACORD CORPONATIVN. AN nW= reserve. <br />The ACORD name and logo are registered marks of ACORD <br />