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2017-04-14_REVISION - C1981010
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2017-04-14_REVISION - C1981010
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Entry Properties
Last modified
4/17/2017 8:53:06 AM
Creation date
4/17/2017 6:45:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
4/14/2017
Doc Name
Application
From
Trapper Mining Inc
To
DRMS
Type & Sequence
RN7
Email Name
RAR
DIH
Media Type
D
Archive
No
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Al R CERTIFICATE OF LIABILITY INSURANCE DATE <br />o n3+2o1 s <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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, if SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsemantlsf_ <br />PRODUCER <br />MARSH USA INC <br />122517TH STREET, SUITE 1300 <br />DENVER. CO 80202-5534 <br />Ann Denver CertRequeslpmarsh Com I FAX 212-448-4381 <br />S6_7982 -10125 -ALL -16-17 <br />INSURED <br />TRAPPER MINING INC <br />PO BOX 187 <br />CRAIG, CO 81626 <br />Esti: --- - - FAX - — -- <br />-- --- - -- (A/C,No): _ <br />INSURERIS(AFFORDING COVERAGE <br />-NAIC_ # _ <br />INSURER A : Federal Insurance Company 20281 <br />INSURER a _NIA 'NA - <br />INSURER c_ ACE Property And Casualty Ins Co 20699 <br />INSURER 0: <br />INSURER E <br />wvcrwucJ CERTIFICATE NUMBER: SEA -002928277-38 REVISION NUMBER:7 <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 PAID CLAIMS <br />ISR1 �ADb� $UBRI POLICY EFF POLICY EXP <br />.TRI TYPE OF INSURANCE POLICY NUMBER MM oiyyYY MM/DDIYYYY � LIMITS <br />A X COMMERCIAL GENERAL LIABILITY 35907412 10101/1016 11014112017 <br />EACH OCCURRENCES 1.000,000 <br />CLAIMS MADE X OCCUR I DAMAGE TO RENTED _ <br />- - <br />GEN'L AGGREGATE LIMIT APPL IE_S PER <br />PRO <br />X POLICY I JFCT LOC <br />OTHER <br />PREMISES LEa occurrence) I S <br />MED EXP (Any one person) $ <br />PERSONAL 8 ADV INJURY $ <br />- -" - - - -- <br />GENERAL AGGREGATE $ <br />-- - <br />PRODUCTS - COMPIOP AGG 1 S <br />DEDUCIIBLE <br />1000,000 <br />14,000 <br />1.000,000 <br />- - <br />2,000000 <br />2000000 <br />AUTOMOBILE LIABILITY <br />$ <br />COMBINEO SINVLE LIM17 <br />$ <br />-_� ANY AUTO <br />(Ea acadent)" <br />_ <br />"' <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per persons S <br />,_-"-_- AUTOS _j AUTOS <br />I NONDANED <br />BODILY INJURY (Par acadentJ S <br />HIRED AUTOS ,AUTOS <br />_ - <br />PROPERTY DAMAGE <br />- "- <br />(Per acadent) $ <br />X uMeRELLAuae OrcuR XOCG27908755002 <br />10101/2016 1&012017 <br />EACH OCCURRENCE$ <br />1,MC,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />! <br />DFD X RFTENTIONS250W <br />;AGGREGATE $ <br />j,4Q4,04C <br />- <br />I WORKERS COMPENSATION <br />S <br />AND EMPLOYERS' LIABILITY <br /> <br />PER OTH- <br />YIN <br />ANY PROPRIETORIPA RT N ER/EX ECUTIVE <br />y STg7UTE ER <br />- '----" - <br />OFFICERIMFMBER EXCLUDED'? L�' NIA, <br />E L EACH ACCIDENT $ <br />(Mandatory in NH) <br />- -- - -- - - <br />-_ _ <br />It yes descnbo under <br />E L DISEASE - EA EMPLOYEE $ <br />DESCRIPTION OF OPERATIONS below <br />-- ---- - - - - <br />E L DISEASE - POLICY L IMIT $ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES IACORD 701, Additional Remarks Schedule, may be attached H more space is required( <br />RE PERMIT#C-81-010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. <br />COLORADO DIVISION OF RECLAMATION <br />AND SAFETY DEPARTMEN f OF NATURAL RESOt IRCES SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />1313 SHERMAN STREET - ROCM 215 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />DENVER, CO 80203 ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />or Marsh USA Inc. <br />Sharon A Hammer <_ <br />©1988-2014 ACORD CORPORATION, All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
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