2017-08-16_GENERAL DOCUMENTS - C1981025

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S&BHOLD-01 VSCOGGINS ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)08/10/2017 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 have ADDITIONAL INSURED provisions or 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). License#0757776 CONTACT Betsy Mease PRODUCER NAME: _ HUB International Insurance Services(COL) PAHONN,Ext):(303 382-5177 FAX 866 243-0727 2742 Crossroads Blvd ( ) (A/c,Noj:( ) Grand Junction,CO 81506 E-MAIL betsy.mease@hubinternational.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Employers Mutual Casualty Company 21415 INSURED INSURER B: S&B Holdings LLC INSURER C: Minrec Inc 627 24 1/2 Rd Unit H INSURER D: Grand Junction,CO 81505 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRIN DD A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 71 CLAIMS-MADE X OCCUR 3X6490418 09/01/2017 09/01/2018 DAMAGES( RENTED 500,000 X X PREMISES Ea occurrence $ _ MED EXP An oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY F7JECT F LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY Ea aBcldentID SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY D Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ 16 U $ WORKERS COMPENSATION a\\O STATUTE OERH AND EMPLOYERS'LIABILITY Y/N eG,am ANY OFFICER/MEMBER ER EXCLUDED ECUTIVE ❑ N/A ��s1on 01&Sa{eky E L EACH ACCIDENT $ (Mandatory in NH) Mtnln9 E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: North Thompson Creek Mines,DRMS Permit C-1981-025. State of Colorado,Division of Reclamation Mining&Safety is included as an Additional Insured.30 days notice of cancellation is provided. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE State of Colorado THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Division of Reclaimation Mining&Safetly 1313 Sherman St,Rm#215 Denver,CO 80203 AUTHORIZED REPRESENTATIVE V� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD