2024-12-26_GENERAL DOCUMENTS - C1981018

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�' A��o® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) , 12/16/2024 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 Lacey Skalicky NAME: Brown&Brown Insurance Services,Inc. (AHCNfV Eat), (612)333-3323 FAX No): 901 Marquette Ave E-MAIL lacey.skalicky@bbrown.com ADDRESS: Suite 1800 INSURER(S)AFFORDING COVERAGE NAIC# Minneapolis MN 55402 INSURER A: Everest Premier Insurance Company 16045 INSURED }�` \Iy. ; ;, INSURERB: Deseret Generation& Nu I. s'tI n o operative INSURER C: DBA:Deseret Power Electric Cooperative INSURER D: 10714 South Jordan Gateway INSURER E: South Jordan UT 84095 INSURER F: COVERAGES CERTIFICATE NUMBER: 2024-2025 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMA $ 2,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occu ence) $ 2,000,000 - MED EXP(Any one person) $ 10,000 A EN4GL00113-241 12/30/2024 12/30/2025 PERSONAL&ADVINJURY $ 2,000,000 GGEEN'LAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY n 'Jr-, LOC PRODUCTS-COMP/OPAGG $ 2�000,000 EC OTHER: _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE n NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RECEIVED Re:Deserado Mine in Rangely,Colorado(Permit#C-81-018). DEC 2 6 2024 Colorado Division of Reclamation, Mining and Saftey CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN State of Colorado Division of Reclamation ACCORDANCE WITH THE POLICY PROVISIONS. 1313 Sherman Street Room 215 AUTHORIZED REPRESENTATIVE Denver CO 80203 �-( 1 v.<_-- I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD