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ACORV CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMroDrwvY) <br />12/12/2018 <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(les) 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 <br />CONTACT Lacey SkalickyorAlejandro Chavez Rivas j <br />PHONE _ (612) 333-3323(612) 373-7270 <br />Arc Ne <br />Hays Companies <br />80 South 8th Street <br />ADDRESS: achavezmras@hayscompanles.com <br />INSURERS AFFORDING COVERAGE MAIC 0 <br />Suite #700 <br />INSURER A: Everest National Insurance Company 10120 <br />M)nnespois MN 55402 <br />INSURED <br />INSURER B : <br />INSURER C : <br />Deseret Generation 8 Transmission <br />INSURER 0: <br />10714 South Jordan Gateway <br />INSURER E : <br />INSURER F : <br />South Jordan UT 84095 <br />COVERAGES CERTIFICATE NUMBER: 2018-2019 REVISION NUMBER: <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 />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />LICYEFF <br />MIpD <br />POLICDfYYM Y EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE S 2.000,000 <br />CLAIMS -MADE � OCCUR <br />DAMAGE TO RENTFE) <br />PREMISES FJ $ 2,000,000 <br />MED EXP one arson) S 10,000 <br />PERSONAL S ADV INJURY $ 2,000,000 <br />A <br />EN4GL00113-181 <br />12/30/2018 <br />12/30/2019 <br />GEMLAGGREGATELIMITAPPLIESPER <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY ED JEC LOC <br />PRODUCTS -COMP/OPAGG S 2,000,000 <br />$ <br />OTHER <br />AUTOMOBILE LIABILITY <br />Ea COMBINE <br />t LIMITD SINGLE $ <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HMO NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />S <br />BODILY INJURY (Per acuderd) S <br />PROPERTY DAMAGE S <br />Per accident <br />S <br />4V <br />UMBRELLA LIAB <br />OCCUR <br />2p <br />8 <br />EACH OCCURRENCE $ <br />_ <br />AGGREGATE S <br />EXCESS LIAR <br />CLAIMS -MADE <br />9 <br />oECj <br />OED RETENTIONSmod", <br />$ <br />WORKERS COMPENSATIONER <br />AAND NY EMPLOYERS' LI BILITYEXECUTivE YIN <br />PROPRIETOROFFICERIMEMBER <br />01415AOn n9$ S <br />Mtn <br />t <br />OTH- <br />STATUTE <br />E L EACH ACCIDENT $ <br />E%CLUDFD7 <br />NIA <br />_ <br />(Mandatory in NN) <br />E L DISEASE - EA EMPLOYEE S <br />DESCRIPTION OF OPERATIONS h•low <br />E L DISEASE - POLICY LIMIT 3 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD t Iii, Additional Remarks Schedule, may be attached H mon space Is rpuirad) <br />Re: Deserado Mine In Rangely, Colorado (Permit NC -81-018) <br />State of Colorado Division of Reclamation <br />1313 Sherman Street Room 215 <br />Denver <br />CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />®1988-2015 ACORD CORPORATION. All ngnts reservea. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />