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ACO12/12//20182018 RL> CERTIFICATE OF LIABILITY INSURANCE DATE ) <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 CONTACT Lacey Skalicky or Alejandra Chavez Rivas <br /> NAME' <br /> Hays Companies PHONE (612)333-3323 FAX (612)373-7270 <br /> AIC No Ext): AIC,No: <br /> 80 South 8th Street E-MAIL achavezrlvas@hayscompanles.com <br /> ADDRESS: <br /> Suite#700 INSURER(S)AFFORDING COVERAGE NAIC# <br /> Minneapolis MN 55402 INSURER A: Everest National Insurance Company 10120 <br /> INSURED INSURER B: <br /> Deseret Generation&Transmission INSURER C: <br /> 10714 South Jordan Gateway INSURER D: <br /> INSURER E: <br /> South Jordan UT 84095 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 2018-2019 REVISION NUMBER: <br /> THIS IS TO CERTIFY THATTHE 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 /> POLICY <br /> TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MM DD EXP LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> TED <br /> CLAIMS-MADE �OCCUR PREMISES(Ea oDAMAGE TO ccurrence) $ 2,000,000 <br /> MED EXP(Any one person) $ 10,000 <br /> A EN4GL00113-181 12/30/2018 12/30/2019 PERSONAL&ADV INJURY $ 2'000'000 <br /> GEN'LAGGREGATELIMITAPPLIESPER GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO 2,000,000 <br /> JECT LOC PRODUCTS $ <br /> n <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY �GGry Per accident <br /> VV $ <br /> UMBRELLA LIAB OCCUR r}O EACH OCCURRENCE $ <br /> EXCESS LIAB HCLAIMS-MADE oECj L AGGREGATE $ <br /> DED I I RETENTION $ a��0�� $ <br /> WORKERS COMPENSATIONQSTATUTE ER <br /> f {ety H <br /> AND EMPLOYERS'LIABILITY Y/N `v�t��O &S <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE F7N/A M,n�ng <br /> EL EACH ACCIDENT $ <br /> D <br /> OFFICER/MEMBER EXCLUDE <br /> (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DFSCRIPTION OF OPERATIONS helow E L DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Re:Deserado Mine In Rangely,Colorado(Permit#C-81-018) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> State of Colorado Division of Reclamation ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1313 Sherman Street Room 215 <br /> AUTHORIZED REPRESENTATIVE <br /> Denver CO 80203 <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />