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ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD/YYYY) <br /> SEMCO-1 11 03 06 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />HUB International Southwest !~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Blanchard Insurance Group ~\ ~ X, - <br />S: HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />P.O. Box 60130 (' <br />' ~w ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Grand Junction CO 81506 R V ~7 c <br />O~ <br />Phone: 970-245-8011 Fax: 970-285-8 Qp <br />v ~, <br />OV I" INSURERS AFFORDING COVERAGE -• NAIC# <br />ENSURED f~~,;\3R~ely INSURERA: Em to ers Mutual Casualt C <br />1N~g10n O d1, Sd INSURER B: <br />nIC\9 <br />0 <br />~1 <br />SEM Construction CO. INSURER C: <br />627 24 1/2 Rd, IInit I INSURER D: <br />Gzand Junction CO 81505 <br /> <br /> 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 REDUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAV 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 />LTR NER TYPE OF INSURANCE POLIOV NUMBER DATE MM/DDm DATE MM/DD/YY LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $1, OOO, DDD <br />A X COMMERCIAL GENERAL LIABILITY 9X90868 OS/1D/D6 DS/1D/D7 PREMISES (Ea occurence)- E1DD, DGD <br /> CLAIMS MADE ~ OCCUR MED EXP (Any one person) E 5 , D D D <br /> PERSONALB ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE E2,000, DDG <br /> GEN'L AGGREGATE LIMIT APPLIEB PER: PRODUCTS-COMP/OP AGG SZ,000,OOO <br /> POLICY PRO- LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINEDSINGLE LIMIT <br />a1,DDD, DDD <br />A X ANV AUro 9X90868 05/10/06 05/10/07 (Ea acdaem) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />E <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br /> <br />X <br />NON-0WNED AUTOS <br />(Per accitlenq $ <br /> PROPERTY DAMAGE <br /> <br />(Per accitleM) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT E <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG E <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE 8 <br /> a <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> ~ ^- <br /> WQRKERS.COMP.ENSATION AND _-. ___-_ -_- ---- - -- 70RY LIMITS ER <br /> EMPLOYERS' LIABILITY <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT E <br /> OFFICER/MEMBER E%CLUDED4 E. L. DISEASE-EA EMPLOYEE $ <br /> I/y¢s, tlescribe antler <br /> SPECIAL PROVISIONS Celow E.L. DISEASE -POLICY LIMB $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />RE: Slue Ribbon Mine-File No C-81-047. State Of Colorado, Division Of <br />Minerals & Geology is included as an Additional Insured.*10 Days Notice Due <br />to Non-Payment Of Premium.**Or incur substantive changes or failure to <br />renew. <br />State Of Colorado <br />Division Of Minerals & Geology <br />1313 Sharman Street Room 215 <br />Denver CO 60203 <br />D D D D D OO I SHOULD ANV OF THE ABOVE DEBCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF,THE ISSUING INSURER WILL 6Ep~7[Y~ERMAIL *3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Y~LSaSHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />ernon DS ronn~mRt <br />