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2016-11-23_GENERAL DOCUMENTS - C1981014
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2016-11-23_GENERAL DOCUMENTS - C1981014
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Entry Properties
Last modified
4/27/2018 3:21:16 PM
Creation date
11/29/2016 12:13:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
11/23/2016
Doc Name
Certificate of Insurance
From
Energy Fuels
To
DRMS
Permit Index Doc Type
Insurance
Email Name
RDZ
JRS
Media Type
D
Archive
No
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ACORO' <br />ENERG-1 <br />CERTIFICATE OF LIABILITY INSURANCE <br />OP In <br />SATs as oo/YYYn <br />1lnsrmla <br />THIS CERTIFICATE E ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY /WEND, 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, N the cortlfleaio holder Is an ADDITIONAL INSURED, Ove pollcy(les) must have ADDITIONAL INSURED prwAslons or be endowed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Detain policies may require an endorsement A statement on <br />this cer08cafo does not conte rights to the rwtillcale holder In lieu of such eNtoreemen s . <br />PRODUCER 8704794363 <br />WZ,a Todd A. Hayes, MBA, CIC <br />Steamboat Soled Insurance Grp <br />P.O. Box 776124Steamboat <br />970-8794363 F No 870878-0238 <br />n CO------ <br />Todd A. MBA. GCOQ7 <br />INSURENS) AFFORDING COVERAGE Kwo <br />10101/2016 <br />A; Great Midwest Insurance Cc 18694 <br />sKURso Energy Fuels Corporation <br />■: <br />INIKIRCR c ` <br />Lindsay Yates <br />PO Box 773467 <br />INOURER D' <br />Steamboat Springs, CO 80477-M7 <br />- --- <br />INS RER E : <br />AUTOAIOBaA <br />NNNUER F : <br />rnVFRAnFQ rFRTIFIrATF utIMRPR• RIMSIAM NIIMRFR! <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 PND CLANS. <br />S <br />TYPE OF INSURANCE <br />ADDL <br />22 <br />jw_ <br />PDIICY NIRAEER <br />'=A"M <br />AMM, <br />TANTE <br />A <br />_ <br />X COMMERCIAL GENERAL LawwTY <br />CLAMS-uAw a occuR <br />L0001108"6 <br />10101/2016 <br />10101/2017 <br />- <br />EACH OCCURREWCE1,000,000 <br />RENTED 100,000 <br />5,000 <br />1,000,000 <br />AGGR pLRApW, PER <br />x I'OIICYJECT LOC2.000.000 <br />OTHER <br />21000,000 <br />- SINGLE UNIT <br />AUTOAIOBaA <br />wham <br />ApNWYryA�upro g�UL <br />�AgURTEf�pS—Y AUTOSyy�ED <br />AUTOS OMA.Y A OIL? <br />eoaLr WAXY — <br />Y <br />UMBRELLA LU1eOCCUR <br />EXCESS a CLNMS-MADEGATE <br />DW <br />ED $ <br />�M�RNEBTAE7NTTIION <br />A EMP DYER UAIN m TJ jL <br />MY <br />AAOM�E CLUO UrnE I <br />N NNl u <br />U yu. 9N OW�r <br />N I A <br />-- <br />IDA R <br />- -- <br />EL. EACH ACCIDENT <br />LL DISEM - EA EMPLOYEE <br />T <br />anoel on (jgCMro,�iiorLsW"psr' /0 j> RD 101, Adanar R—ofte xa.or, .m be aftdod s raw. Wam w mammal <br />rF9MVIrATF unl non rAurFl 1 ATYfu <br />ACORD 25 (2016103) ®1988-2015 ACORD CORPORATION. AN rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DEECRMEO POLICES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL 13E DELIVERED M <br />Colorado Division of Reclsmati <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Mining and Safety <br />1313 Sherman Street <br />215 Centennial Sulding, Rm 215 <br />1W71OAesoREPREs°MAME <br />ACORD 25 (2016103) ®1988-2015 ACORD CORPORATION. AN rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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