2020-01-22_GENERAL DOCUMENTS - C1981010

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-DATE D CERTIFICATE OF LIABILITY INSURANCE 01/14/20 OmrY► 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). PRODUCER CONTACT MARSH USA INC. NAME: 122517TH STREET,SUITE 1300 PHONE A/C No): DENVER,CO 80202-5534 E-MAIL Attrr Denver.CertRequest@marsh corn I FAX 212-948-4381 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# CN103135850-00125-ALL-20-21 INSURER A:Federal Insurance Company 20281 INSURED INSURER B:N/A N/A TRAPPER MINING INC. PO BOX 187 INSURER C:Scottsdale Insurance Company 41297 CRAIG'CO 81626 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003351588-46 REVISION NUMBER: 7 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 /NSR ADDLTYPE OF INSURANCE J=SUBR POLICY NUMBER MM DD/YYYY POLICY EFF MM LICY EXP LTR IDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 35907412 01/01/2020 01/01/2021 EACH OCCURRENCE $ 1,000,000 DA AGE ToRENTF-D CLAIMS-MADE a OCCUR PREMISES Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED r — $ NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR XNS0005249 01/0112020 01/01/2021 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED-FX f RETENTION$25,000 $ WORKERS COMPENSATION PEROTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: PERMIT#C-81-010 POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES RE CERTIFICATE HOLDER VU CANCELLATION COLORADO DIVISION OF RECLAMATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE D3 SAFETY DEPARTMENT URAL RESOU,CFS�N OF Ockit Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN \NjN� 131SHERMAN STREETROOM 2 SACCORDANCE WITH THE POLICY PROVISIONS. DENVER,CO 80203 Q AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Jon Lindstrom _rsK3 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD