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GENERAL47706
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Entry Properties
Last modified
8/24/2016 8:23:01 PM
Creation date
11/23/2007 3:43:25 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
General Documents
Doc Date
10/29/2004
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE CSR TS DATE (Mm/DDmvv) <br />ENERG-1 10/2B 04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Brown 6 Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Steamboat Spgs POS 775043 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR <br />2150 Resort Drive, #250 ALTER TFE COVERAGE AFFORDED BY THE POLIgES BELWV. <br />Steamboat Springs CO 80477-5043 <br />Phone: 970-879-1363 Fax: 970-879-0239 INSURERS AFFORDNG COVERAGE NAIC# <br />INSURED INSURER A: CHUBB 6 SON INC <br /> INSURER B: <br />Energy Fuels Corporation INSURER C' <br />PO Box 773457 <br />Steamboat S <br />rin <br />s CO 80477-3457 INSURER D: <br />p <br />g <br /> INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ADOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ~~'Qr EIS $ V`B01'Jy <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I$ SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYYE GATE MMIPD /YYN LIMIT$ <br /> GENERAL LIABILITY EACH OCCURRENCE $1, OOO, DDD <br />A $ COMMERCIAL GENERALLIABILITV 79544662 10/01/04 10/O1/OS PREMISES(Eeoccurence) $50,000 <br /> CLAIM$ MADE OCCUR ~ MED EXP (Any one'person) $ 1D ,DDD' <br /> PERSONALB AOV INJURY $1, DDD, ODD <br /> GENERAL AGGREGATE $2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMPIOP AGG $ 2 , OOO , OOO <br /> Poucv PRO- <br />JEGT LOC Emp Ben. 1,000,000 <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea accitlent) $ <br /> ALL OWNED AUTOS <br />8001LY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) S <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per acctlent) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accitlent) $ <br /> GA RAGE LIABILITY AUTO ONLY-EP. ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE S <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />~~ ~______ __--_ _ __ _ - DRY-LIMtT9 -ER- - ----' <br />-' EMPLOYERS"LIABILITY <br /> ANY PROPRIETORIPARTNERIEXECUTNE E.L. EACH ACCIDENT $ <br /> OFFICERJMEMBER E%CLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, tlescribe untler <br /> SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHIC LES /EXCLUSIONS ADDED BV ENDORSE MENT I SPECIAL PRO VISIONS <br />Raton Creek Mine - Permit #C-82-055 <br />Kerr Mine -- Permit #C-60-006 <br />Southfield Mine - Permit #C-81-014 <br />CERTIFICATE HOLDER CANCELLATION <br />CNATURA SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />COlOradO Department Of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />Natural RBSOIIrCE:S NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL <br />D1V1SlOn of Minerals S Geology IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER.ITS AGENTS OR <br />1313 Sherman Street, Rm 215 <br />Denver CO BO2O3 REPRESENTATIVES. <br />AUTHORIZED REPRES J'I"TA <br />25(2001108) <br />
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