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ACORU <br />CERTIFICATE OF LIABILITY INSURANCE OP ID $ DATE IMMIDDIYYYYI <br />,. <br />DESER-3 12/08/05 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Hays Companies HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />BO South 8th Street p700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Minneapolis MN 55402 <br />Phone: 612-333-3323 Fax: 612-373-7270 ENSURERS AFFORDING COVERAGE - NAIC# <br />wsuRED .. INSURER A: Federal Insurance CompanY_ 20281 _ <br /> INSURER B: ~. <br />- Deseret Generation & Transmiss ~ ----- <br />Attn: Soren Sorensen INSURER C: <br />Q0714SOUth Jordan Gateway INSURER D: <br />So <br />th J <br />dan UT 84095 <br />- <br />u <br />or - <br />' INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEE1J 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 />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CWSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSRWDD'L <br />LTRINSRp TYPE OFINSURANCE POLICY NUMBER I Y FFE TIV <br />DATE MM/OD/YY P LI %PIRATI N <br />GATE MM/DDf/V ---- <br />LIMITS <br />GENERAL LIAHILITV EACH OCCURRENCE J $ 1,000, QQQ <br />1 <br />A }( COMMERCIAL GENERAL LIABILITY <br />73199469 <br />12/30/04 <br />12/30/05 ~DAMAGETORENTED- <br />PREMISES (Ea occurencel <br />~e 1QQ,000 <br />~ )~ CLA <br />Ih1S 1.1ADE ~ ~ OCCUR I __ <br />MED EXP IAny one person) S 1 Q, 0 0 0 <br />e <br />X,EBL $1,000~QQQ <br />- <br />' PERSONALSADV INJURY I $ 1,000,000 <br />j <br />J GENERAL AGGREGATE $ 2, QQQ,QQQ <br />GEN'L AGGREGATE LIMIT APPLIES PER.I <br />- PRODUCTS~COMPIOPAGG 5 2, QQQ, QQQ <br />PRO- <br />{ <br />PO <br />OC <br />~ <br />1 <br />LICY <br />L <br />, <br />JECT <br />gUTOMOBILE LIABILITY <br /> <br />~ <br />COMBINED SINGLE LIMIT ~ <br />S <br />' <br />ANY AUTO (Ea accidenU <br />I I ALL OWNED AUTOS BODILY INJURY <br />SCHEDULED AUTOS IPer person? I S <br />I HIRED AUTOS <br />BODILY INJURY <br />S <br />JJJ NON-OWNED AUTOS <br />III IPer accdenp <br />~~~ <br />I ~ PROPERTY DAh1AGE h <br />II (Per accitlem) <br />GARAGE LIABILITY I AUTOONLY-EA ACCIDENT 5 <br />_ <br />!_~ ANY AUTO i _ <br />OTHER THAN EA ACC $ <br /> ( AUTO ONLY: AGG S <br />~; EXCESSIUMeRELLA L{AHiI{TY I I EACH OCCURRENCE 5 <br />LJ OCCUR ~ CLAIMS MADE AGGREGATE S <br /> <br />; 5 <br />-__.__ <br />DEDUCTIBLE ~ S <br />RETENTION 5 j j 9 <br />~ WDRKERS COMPENSATION ANO (TORY LIMITS ER V <br />EMPLOYERS' LIABILITY "--- -- - --- <br />ANV PftOPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT 5 <br />I <br />^ <br />' <br />_- - _ _ __ <br />_ r <br /> <br />{I OFFICE <br />NMEh56ER <br />E72,YUCEB? _ <br />L -_` <br />T't'OISFASE`='E1-EI.iFiO4EE <br />If yes describe under I - <br />' SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT S <br />OTHER <br />~ ~ RECEIVED <br />OESCftIPTION OF OPERATIONS / LOCATIONS I VEHICLES I E%CLUSIONS ADDED HY ENDORSEMENT I SPECIAL PROVISIONS <br />Re: Deserado Mine in Rangely, Colorado (Permit kc-al-oleo. DEC 12 <br />Division of Minerals and Geology <br />CERTIFICATE HOLDER CANCELLATION <br />COLSTAI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E%PIRATIOt <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />State of Colorado NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />D1 V1510^ of Minerals S GE!Ology IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WSURER, ITS AGENTS OR <br />1313 Sherman Street Room 215 <br />Denver CO BO2O3 REPRESENTATIVES. <br />©ACORD CORPORATION 1988 <br />