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GENERAL49827
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GENERAL49827
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Last modified
8/24/2016 8:29:33 PM
Creation date
11/23/2007 5:26:43 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982055
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 T5 DATE (MM/DDM'YY) <br />ENERG-1 10/28/04 <br />PROOUCeR THIS CERiIFICATEIS ISSUED AS AMATTER OF INFORMATION <br />Brown S Brown Insurance ONLY AND CONFERS NO RIGHiS UPON THE CERTIFICATE <br />Steamboat Spgs POB 775043 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2150 Resort Drive, #250 ALTER THE COVERAGE AFFORDED BY 7HE POLIdES BELOW. <br />Steamboat Springs CO 80477-5043 <br />Phone: 970-879-1363 Fax:970-879-0239 INSURERS AFFORDNG COVERAGE NAIC# <br />INSURED INSURER A' Cj.]UgB 6 SON INC <br /> INSURER B: <br />Energy Fuels Corporation INSURERC <br />PO BOX 773457 INSURER D: <br />Steamboat S <br />rin <br />s CO 80477-3457 <br />g <br />p <br /> INSURER E' <br />COVERAGES DivfslDn n! • •:_ <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AROVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING GBDID9 <br />Y <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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 BV PAID CLAIMS. <br />LTR NSR TYPE OF INSURANCE POLICY NUMBER pATEYMMIDDIYY GATE MAVPDD/Y' N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO ,DOD <br />A X COMMERCIAL GENERALLIABILITV 79544662 10/01/04 10/01/05 PREMISES (Eaoccurence) 850,000 <br /> CLAIMS MADE ~OGCUR MED EXP (Any one person) $lO, DOD <br /> PERSONAL BADV INJURY $1, DOD, OOO <br /> GENERAL AGGREGATE $2,000, DDD <br /> GFN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMP/OP AGG $2, ODD, OOO <br /> POLICY JECT LOC Em Sen. 1, ODD, DDD <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANV AUTO (Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-O WNED AUTOS IPer accitlent) <br /> PROPERTY DAMAGE <br /> <br />(Per accitlenU $ <br /> GA RAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY' qGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> 8 <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND _ __ _ TORYLIMITS ER -- - <br />- EMPLOYERS' LIABILITY <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ <br /> If yes, tlesvibe untler <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Raton Creek Mine - Permit #C-82-055 <br />Kerr Mine -- Permit #C-80-006 <br />Southfield Mine - Permit #C-61-014 <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 ANV OF 7HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT101 <br />Of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 50 SHALL <br />fi Geology IMPOSE NOOBLIGATION OR LIABILITY OF ANV KING UPON 7HEINSURER, ITS AGENTS OR <br />Rm 215 , <br />©ACORD CORPORATION 7986 <br />
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