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GENERAL33462
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GENERAL33462
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Entry Properties
Last modified
8/24/2016 7:55:25 PM
Creation date
11/23/2007 7:38:22 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982055
IBM Index Class Name
General Documents
Doc Date
10/20/2004
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE CSR TS DATE (MM/DDNYYY) <br />ENERG-1 10 12 04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Brown 6 Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Steamboat Spgs POB 775043 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2150 Resort Drive, #250 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Steamboat Springs CO 80477-5043 <br />Phone: 970-879-1363 Fax; 970-879-0239 w~~,.,~, SURERS AFFORDING COVERAGE NAIC# <br />INSURtU ~/~ ~~~ INSURER A: (,'HUBS 6 SDN INC <br />U INSURER B <br />Energy Fuels Corporation INSURER C: <br />PD SOX 773457 _ INSURER D: <br />Steamboat Springs CO 80477-3457 „oo. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />I L P LI FFE TIV POLI Y X IRATI <br /> <br />LTR I <br />NSR TYPE OF INSURANCE POLICY NUMBER <br />GATE MMIDO/Y1' <br />GATE MMIDD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $2,000,000 <br />A X COMMERCIALGENERAL LIABILITY CML012699001 lO~O1~04 12~01~04 PREMISES (Ea ocwrence $SO, OOO <br /> CLAIMS MADEOCCUR MED EXP(Any one person) $lO, OOO <br /> PERSONAL BADV INJURY $2,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'LAGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMPIOP AGG $2x000, OOO <br /> POLICY JECT ~ LOC Em Ben. 2 , OOO , OOO <br /> AUT OMOBILE LIABILITY ' <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accitlent) <br /> ALL OWNED AUTOS <br />BDDILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />80DILV INJURY <br />$ <br /> NON-0WNED AUTOS (Per acdtleN) <br /> PROPERTY DAMAGE <br /> <br />(Per accitlenQ $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY'. AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />J _ _ _ _ ORYLIMITS FR - <br /> f_MPLOVER$'LMBILITV^- _ <br />-- - <br /> ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> If yes, tlesuibe under <br /> SPECIAL PROVISIONS below E L DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PRO <br />RE: Raton Creek Mine - Permit #C-82-055 <br />Kerr Mine -- Permit #C-80-066 OCT 2 O 2004 <br />Southfield Mine - Permit #C-81-014 <br />Newlin Creek Mine - Permit #C-81-045 Division ~f Minerals and Geology <br />CERTIFICATE HOLDER CANCELLATION <br />CNATURA SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Colorado Department Of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O OAYS WRITTEN <br />Natural Resources NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Division of Minerals S Geology <br /> <br />1313 Sherman Street, Rm 215 I <br />' <br />Denver CO 80203 R <br /> AUTHORIZED REP SE IVE <br /> Scott nor <br />AGUKU ZD (ZUUI/06) l` / ~ ©ACORD CORPORATION 1986 <br />
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