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Attachment C A4. R CERTIFICATE OF LIABILITY INSURANCE DIDDIYYYY) �...- 2/7/2i7i2o17 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 1S 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 endorsements. PRODUCER Durango COWAst2 Durango CoWeat2 P+ (970)375-0226 W r(970)692-2250 700 Main Ave., Suite F INSURERS)AFFORDING COVERAGE NAIC# Durango CO 81301 POSU RA:Sentinel Insurance Co. LTD 11000 INSURED INSURER B EMA10 era Compensation Ins Cc Bechtolt Engineering Inc. INSURER C:Continental Casualty Com an 3059 Main Avenue #a INSURERD:Twin City Fire Insurance Co INSURER E: Durango CO 81301 INSURER F COVERAGES CERTIFICATE NUMBER:16/17 RENEWAL 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 ce PQLIGYNUMBER Y LIMMII Y IYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 X COMMERCNL GENERAL LIABILITY IV Kt:NftU bl�fEaoeauronc $ 1,000,000 A CLAIMS-MADE [i]OCCUR 34SBAPJ0741 /1/2016 /1/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 t GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 4,000,000 POLICY x_ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT 11000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 34UECJJ7322 /1/2016 / 017 /1 2 AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED E $ AUTOS Uninsured motorist combined $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB rd CLAIMS-MADE 4SBAPJ0741 /1/2016 /1/2017 AGGREGATE $ OEU I I RETENTION$ r S B WORKERS COMPENSATION X v�y �Te OTH• AND EMPLOYERS'LIABILITY Y/N ", ER ANY PROPRIETOR/PARTNERIEXECUTIVE E L EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? ❑ EA NIA (Mandatory in NH) IG 1303021 OS /1/2016 /1/2017 EL DISEASE-EA EMPLOYE S 500.000 If DESCRIPTION OF OPERATIONS below yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 D C JERRORS S OMISSIONS 11288372454 /1/2016 /1/2017 EACH CLAIM $2,000,000 D CY13ER LIABILITY 4hID0297514 /16/2016 /16/2017 LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more apace Is required) PROJECT: MAYDAY MINE TRAFFIC IMPACT STUDY. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WILDCAT MINING CORPORATION ACCORDANCE WITH THE POLICY PROVISIONS. 3926 NORTH STATE HWY 67 SEDALIA, CO 80135 AUTHORIZED REPRESENTATIVE Terrie Anstead/PLST ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 oninnsl m Tha Arnpn namo and Innn arA reniefararl marlrc of Ar nRn