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GENERAL36458
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GENERAL36458
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Entry Properties
Last modified
8/24/2016 7:57:00 PM
Creation date
11/23/2007 8:45:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982055
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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ACORD CERTIFICATE OF.LIABILITY INSURANCFz~RG~1 T Da10/03 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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2150 Resort Dr #250 POB 775043 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Steamboat Springs CO 80477-504 INSURERS AFFORDING COVERAGE <br />Phone: 970-879-1363 Fax: 970-87~°9~®\aem P~ I <br />°°^°~ '- INSURER A: American Safat Insurance Serv <br />NOV 0 y 2002 INSURER B. <br />Energy Fuels Corporation ~ INSURER C: <br />PO BOX 773457 INSURER D: <br />Steamboat Springs CO DbQi8137fM}L~a~s and GeDlDavINSURER 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 />hIAY PERTAIN. THE MSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR~ <br />LTR TYPE OF INSURANCE I <br />POLICY NUMBER POLIO TIV <br />GATE MMIDD/YY P LI PIRA 1 N <br />DATE MMIDDM' <br />LIMBS <br />. GENERAL LIABILITY I EACH OCCURRENCE 52,000,000 <br />A XICOMMERCIALGENERALLIABILITY ~ CML012699001 1D~O1~U2 lU~D1~D3 FIRE DAMAGE(Anyme(re) SSD,DOD <br />CLAIMS MADE ~X~OCCUR MEDEXP(Anymeperson) 510,D00 <br />I <br /> <br />- <br />PERSONALSADVINJURY <br />52,000,000 <br />( <br />I <br /> GENERAL AGGREGATE 52, 00 ~, 000 <br />~GENL AGGREGATE LIMITAPPLIES PER: <br />_ PRODVLTS-COMP/OPAGG 52,000,000 <br />h POLICY~jE~ j <br />,LOC Em Ben. 2, LIDO, 000 <br />j AUTOMOBILE LIABILITY <br /> <br />- <br />COMBINED SINGLE LIMIT <br />5 <br />IANV AUTO <br />~ (Ea acadenn <br />i <br />~ALL OW NED AUTOS <br />BODILY INJURY <br /> <br />!~ SCHEDULED AUTOS <br />(Per person) 5 <br />' I HIRED AUTOS I <br /> BODILY INJURY <br />5 <br />I NON-OWNED AUTOS i (Per accitlenn <br />! ~ PROPERTY DAMAGE 5 <br />I (Per acdtlenU <br />RAGE LIABILITY <br />GGA-- AUTO ONLY-EA ACCIDENT f <br />MI <br />I IANV AUTO OTHER THAN EA ALC 5 <br />HI AUTO ONLY: AGG 5 <br />EXCESS LIABILITY ~ EACH OCCURRENCE f <br />r-- <br />OCCUR ~ CLAIMS MADE <br />AGGREGATE <br />5 <br /> 5 <br />L~ DEDUCTIBLE f <br />RETENTION 5 5 <br />WORKERS COMPENSATION AND TORY LIMITS ER <br />i <br />;EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT f <br /> E.L. DISEASE-EA EMPLOYE 5 <br /> E.L. DISEASE-POLICY LIMIT 5 <br />OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSNEMICLES/E%CLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />RE: Raton Creek Mine, Las Animas, Colorado <br />Pezmit #C-82-055 <br />t4tKlIHIGA7t MOLOtK IN IADDTf10NAL INSURED: INSURER LETTER:_ I:ANGtLLAINN <br />COLORAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Colorado Department O£ GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~.9_DAYS WRITTEN <br />Natural Re.s OSC eS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, iPGGiC-GiUL1, <br />Division o£ Minerals & Geology <br />1313 Sherman St., Rm 215 ~~, <br />Denver CO 80203 <br />ACORD 25-5 (7/97) <br />
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