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GENERAL40704
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Entry Properties
Last modified
8/24/2016 7:59:50 PM
Creation date
11/23/2007 10:49:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
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 (MMIDD/YYYV) <br />ENERG-1 10/12/04 <br />PRODUCER <br />Brown 6 Brown Insurance <br />Steamboat Spgs POB 775043 <br />#250 <br />2150 Resort Drive THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />~ TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />, <br />Steamboat Springs CO 80477-5043 <br />-Phone :~ZD-879-1363 Fax:970-679-0239 ~ _ <br />~ URERS AFFORDING COVERAGE <br />NAIC# <br />INSURED ~ INSURER A: CHUBB G SON INC <br /> INSURER B: <br />I .. <br />Energy <br />-Fuels COrpOratl On <br />INSURERQ •' .~. <br />, <br />PO BOX 773457 - <br />57 <br />0 INSURER O: '- ' <br />Steamboat Springs CO 8 <br />477-34 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 />ANV REQUIREMENT, TERM OR CONDITION OF ANV 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, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED eV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER GATE MM DD/YY DATE MMIDD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $2,000,000 <br />A X COMMERCIALGENERALLIABILITV CML012699001 10/01/04 12/01/04 PREMISES Eaocwrence 550,000 <br /> CLAIMS MADE OCCUR MED EXP (Any one person) $1D, ODD <br /> PERSONAL&ADV INJURY $2,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2, DDD, DDO <br /> POLICY PRO- <br />JECT LOC D']II Ben. 2 000,000 <br /> AUT OMOBILE LIABILITY - ' <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO - (E88ccltlenQ <br /> ALLOWNED AUTOS - - ~~ '- ~-" "" <br />BODILY INJURY '- ' <br /> <br />BCHEDOLE06UT9S_. :. ..:. <br />.. ,. <br />__ ,_____.. _.,_ __ <br />....-- _ ._ <br />__ <br />__ <br />- <br />.. _ .. <br />(Par person) $ <br /> -HIRED AUTOS. ~ _ _ „ <br />, BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(PeraaitlenQ $ <br /> PROPERTY DAMAGE <br /> _ $ <br /> (Per accitlent) <br /> GARAGE LIABILITY AUTOONLV-EA ACCIDENT $ <br /> ANV AUTO OTNERTHAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OGGURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE g <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />M <br />' TORY LIMITB ER <br /> E <br />PLOYERS <br />LIABILITY <br /> ANV PROPPoETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br />I( <br />es <br />d <br />ib <br />tl E.L. DISEASE-EA EMPLOYEE $ <br /> y <br />, <br />escr <br />e an <br />er <br />SPECIAL PROVISIONS below <br />E.L. DISEASE-POLICY LIMIT <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONSI LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIO D <br />RE: Raton Creek Mine - Permit #C-82-055 <br />Kerr Mine -- Permit #C-80-066 <br />Southfield Mine - Permit #C-B1-014 OCT 2 0:2004 <br />Newlin Creek Mine -Permit #C-B1-045 <br />Dirisi0n ~f Minerals and GeDlDgy <br />Colorado Department <br />Natural Resources <br />Division of Minerals <br />1313 Sherman Street, <br />Denver CO 80203 <br />ACORD 25 (2001108) <br />CNATURA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION'. <br />Of GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTFICATE HOLDER NAMED TO THE LEFT, +.-~ T~we.eivicl~ <br />6 Geology <br />Rm 215 I <br />Scott <br />cnaanaerenu ~oaR <br />
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