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GENERAL43123
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Entry Properties
Last modified
8/24/2016 8:11:55 PM
Creation date
11/23/2007 12:12:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
10/7/2002
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 LIABI LITY INSURANCE OP ID TS DnrE IMNVOOmI <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 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 80477-5043 <br />Phone: 970-879-1363 Fax: 970-879-0239 INSURERS AFFORDING COVERAGE <br />INSURED INSURER A: American Saf et Insurance SerV <br /> INSURER B: <br />Energy Fuels Corporation INSURER C: <br />PO BOX 773457 <br />60477 <br />3457 <br />t <br />i <br />C INSURER D' <br />Steamboa <br />Spr <br />ngs <br />- <br />O <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA7ED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ILTR TYPE OF INSURANCE POLICY NUMBER YEF E IVE <br />DATE MMIDD 1 YE PI i <br />DATE MMIDDm LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2, ODD, OOO <br />F! X COMMERCIAL GENERAL LIABILITY CMLO12699001 lO/Ol/O2 lO/Ol/O3 FIRE DAM4GE (Any one l+re) $$O, OOO <br /> CLAIMS MADE ~ OCCUR MED EXP (Any on¢ person) E lO , OOO <br /> PERSONALBADV INJURY b2, OOO, OOO <br /> GENERAL AGGREGATE 52,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG E 2, OOO, OOO <br /> POLICY PRO LOC <br />JECT Sm Ben. 2, 000, 000 <br /> AUT OMOBILE LIABILITY ~ <br /> ~ COMBINED SINGLE LIMIT E <br /> ANV AUTO (Ea accidenU <br /> ALL OW NED AUTOS G <br />44 <br />.~ <br />BODILY INJURY <br />$ <br /> SC ~~ <br />0.V 1 \O~ (Per perwn) <br /> HEDULED AUTOS `- G ~ <br /> O <br />a <br /> HIRED AUTOS <br />O S9~ <br />O~ BODILY INJURY <br />P <br />E <br /> NON-OW NED AUTOS `~St ( <br />eraaideni) <br /> ~ <br />~ <br /> <br />O <br />P <br />PROPERTY DAMAGE <br /> SYS (Per acddem) E <br /> <br />I GA RAGE LIABILITY AUTOONLV-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG E <br /> E%CESS LUUJILITY EACH OCCURRENCE E <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE E <br /> E <br /> DEDUCTIBLE $ <br /> RETENTION $ E <br /> WORKERS COMPENSATION.AND - - - - - - - - - ~ - "TORY L11dIT6 ER - <br /> EMPLOYERS' LIABILITY <br /> E.L. EACH ACCIDENT $ <br /> E.L. DISEASE-EA EMPLOYE E <br /> E.L. DISEASE-POLICY LIMIT b <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSA/EHILLE$IEXLLUSIONS ADDED BY ENDORSEMENT/SPECULL PROVISIONS <br />R8: Southfield Mine, Fremont County, Colorado, MLRD Permit #C-81-014 <br />Newlin Creek Mine, Fremont County, Colorado, MLRD, Permit #C-81-045 <br />GERTIHIGATE HVLDER N ADDRIONAL INSURED; INSURER LETTER:_ CANCELLATION <br />COLORAD SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOP <br />Colorado Department Of GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~~DAYS WRITTEN <br />Natural Resources NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, GYiiIYbYR63e9e'SO~lTLL <br />Division of Minerals & Geology <br />1313 Sherman St., Rm 215 rKIND , <br />Denver CO 80203 ~~ <br />©ACORD CORPORATION 1988 <br />
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