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GENERAL33540
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Entry Properties
Last modified
8/24/2016 7:55:28 PM
Creation date
11/23/2007 7:39:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
11/4/2002
Doc Name
Certificate of Liability Insurance
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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' j ~S <br />ACbRD CERTIFICATE OF LIABI LITY INSURANCE OP ID TS DATE IMMIDD/YY) <br /> NERG-1 10/03/02 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Brown & Brown Inc - Steamboat <br />O HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2150 Resort Dr #250 POB 775043 ~ <br />~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Steamboat Springs CO 80477-5043 ~` <br /> <br />Phone: 970-879-1363 Fax: 970-87 ^ <br />6 <br />INSURERS AFFORDING COVERAGE <br />INSURED `1 O I ERA: AmerlCdn Safet Insurance Bert/ <br /> NOV 0nd INSURER B: <br /> ~a\5 <br />Energy Fuels COrpOratl On CT~PB INSURER C: <br />PO BOX 773457 0~ <br /> <br />St <br />a <br />b <br />t S <br />in <br />CO 80477 <br />g'~~l INSURER D: <br />e <br />m <br />oa <br />pr <br />gs p~j <br /> <br />i INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY 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 />INSR <br />LTR' TYPE OF INSURANCE <br />POLICY NUMBER POLI Y EFFE TIVE <br />DATE MMIDOM/ POLICY EXPIRATION <br />GATE MMIDO/YY <br />LIMITS <br />GENERAL LIABILITY EACH OCCURRENCE S2, DDD, DUD <br />X COMMERCIAL GENERAL LIABILITY <br />A I CML012699001 10/01/02 10/01/03 FIRE DAMAGE (Any one rre) 550, DDD <br />, <br />CLAIMS MADE OCCUR MED EXP (Any one person) $1Q, QQQ <br />I PERSONAL SADV INJURY 52,000, DDD <br />) GENERAL AGGREGATE S 2, OOO, UUU <br />GEN'L AGGRE <br />ATE LIMIT AP <br />PL <br />IES PER: <br />G PRODUCTS-COMP/OP AGG $2,000, OOO <br />I <br />~ <br />I <br />~ <br />D LOG <br />j~ POLICY I I P Em B <br />n 2 <br />UUU <br />000 <br />E e <br />. , <br />, <br />AUTOMOBILE LIABILITY <br /> COMBINED SINGLE LIMIT <br />E <br />ANY AUTO (Ea acudenq <br /> ALL O W NED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />- <br />8001LY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident) <br /> <br />- PROPERTY DAMAGE <br />E <br />I <br />~ IPer accidenp <br />GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> <br />ANY AUTO OTHER THAN EA ALC $ <br /> AUTO ONLY: AGG $ <br />EXCESS LIABILITY EACH OCCURRENCE $ <br />OCCUR ~ CLAIMS MADE AGGREGATE E <br />i $ <br /> DEDUCTIBLE 5 <br />i RETENTION $ b <br />WORKERS COMPENSATION AND TORY LIMITS ER <br />EMPLOYERS' LUIBILITY <br /> E.L. EACH ACCIDENT E <br /> E.L. DISEASE-EA EMPLOYE S <br /> E.L. DISEASE -POLICY LIMIT $ <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Southfield Mine, Fremont County, Colorado, MLRD Permit #C-81-014 <br />Newlin Creek Mine, Fremont County, Colorado, MLRD, Permit #C-81-045 <br />CERTIFICATE HOLDER ~ N ADDITIONAL INSURED; INSURER LETTER: _ CANCELLATION <br />COLORAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIOI <br />Colorado Department Of DATE THEREOF, THEISSUING INSURER WILL ENDEAVOR TO MAIL ~.9_DAYS WRITTEN <br />Natural Res Ol3rCes NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, °"~•'~ ^w.~i~J~S....Y...- L <br />Division of Minerals & Geology <br />1313 Sherman St., Rm 215 ' <br />Denver CO 80203 ~~~ <br />ACORD 25-5 (7197) <br />
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