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QR.n 1ni n_noi V_grnr.r;IN3 <br />t1nvc0Af1_Ce 1'FDTICI1%ATF hil IURFR• RFVISInN NIIMRFR: <br />vTHIS 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 />ACORO" <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DDNYYY) <br />08/10/2017 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER License # 0757776 <br />CONTACT Betsy Mease <br />HONE ,Ext): (303) 382-5177 FAAX No): (866) 243 -0727 <br />HUB International Insurance Services (COL) <br />2742 Crossroads Blvd <br />Grand Junction, CO 81506 <br />E -MAIL . betsy.mease@hubintemational.com <br />INSURER(S) AFFORDING COVERAGE NAIC# <br />3X6490418 <br />INSURER A: Employers Mutual Casualty Company 21415 <br />09/01/2018 <br />INSURED <br />INSURER B: <br />INSURER C : <br />S & B Holdings LLC <br />Minrec Inc <br />627 241/2 Rd Unit H <br />INSURER D: <br />INSURER E: <br />Grand Junction, CO 81505 <br />INSURER F : <br />t1nvc0Af1_Ce 1'FDTICI1%ATF hil IURFR• RFVISInN NIIMRFR: <br />vTHIS 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 />INSRTYPE OF INSURANCE �ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />1313 Sherman St, Rm #215 <br />Denver, CO 50203 <br />AUTHORIZED REPRESENTATIVE <br />(Irv\ <br />EACH OCCURRENCE $ 1'000'000 <br />DAMAGE TO RENTED $ 500,000 <br />CLAIMS -MADE FX OCCUR <br />X <br />X <br />3X6490418 <br />0910112017 <br />09/01/2018 <br />MED EXP (Anyone person)10'000 <br />PERSONAL & ADV INJURY $ 1'000'000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />X POLICY ❑ jE oT F� LOC <br />GENERAL AGGREGATE $ 2'000'000 <br />PRODUCTS - COMP/OP AGG $ 2'000'000 <br />$ <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />BODILY INJURY Per son $ <br />ANY AUTO <br />BODILY INJURY Per accident $ <br />BODILY <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AUTOS ONLY AUTOS ONLY <br />D <br />Pe�aoEc�eTMnt AMAGE $ <br />$ <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />^O��( <br />1 <br />DED RETENTION $ <br />L <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY <br />FICER/M IIETOER EXCLUO IE ECUTIVE ❑ <br />(Mandatary in NH) <br />N / A <br />eclamafto <br />O���sWo►' o� & Sa,iety <br />PER OTH- <br />TAT TE ER <br />E L EACH ACCIDENT $ <br />E L DISEASE - EA EMPLOYEE $ <br />E.L DISEASE -POLICY LIMB <br />U yes, descnbe und'Or <br />DESCRIPTION OF PERATIONS below <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />Re: North Thompson Creek Mines, DRMS Permit C-1981-025. State of Colorado, Division of Reclamation Mining & Safety is included as an Additional <br />Insured. 30 days notice of cancellation Is provided. <br />9`Aa1!`CI I ATInW <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rignis reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />State of Colorado <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Division of Reclaimation Mining & Safetly <br />1313 Sherman St, Rm #215 <br />Denver, CO 50203 <br />AUTHORIZED REPRESENTATIVE <br />(Irv\ <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rignis reserved. <br />The ACORD name and logo are registered marks of ACORD <br />