GENERAL50418

• Permit No: C1981018
• IBM Index Class Name: General Documents
• Doc Date: 12/30/2002
• Doc Name: Certificate of Insurance
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

MARSH CERTIFICATE OF INSURANCE ' CERTIFICATE NUMBER
_ SEA-000539537-02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Mafsh USA RIBk LC IDSDranCC Sen/ICOS InC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
60 East South Temple, Suite 1600 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND Oft ALTER THE COVERAGE I.
5211 Lake Glly, UT 84111 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Atln: JENNY MARTIN 801-539-7400 COMPANIES AFFORDING COVERAGE
COMPANY
00110-- STATE A GREAT NORTHERN INSURAN CO
INSURED '. r'.: ~ :U -'~ COMPANY c '
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a wholly ownetl sub E~I
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Deseret Generation & Trans:

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i ~-~ South Jordan, UT 84095
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CO_VERAG_ES ~ ~ ~" ~"- ~ ~ This cgrtific@te supersedes and replaces any previously issued certificate for the policy period noted belo , eoleSY 0 - •
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBEb HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAV
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS
LTR DATE (MMIDDIYY) DATE (MMIDDIYYI
A GE NERAL LIABILITY 73194464 12/30/02 12/30/03
GENERAL AGGREGATE
~ 2,000,000
~' COMMERCIAL GENEP.AL LIABILITY (PRODUCTS-COMPIOP AGG $ 2.000,000
CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY $ 2,000,000
OWNER'SS CONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000
_ FIRE DAMAGE(Any Gnefire) ~ 100,000
I MED EXP An one rson ~ 10,000
AUT OMOBILE LIABILITY- -
COMR
O SING
E OM
Y
I
INE
L
IT
ANV AUTO
'
- I `~ •° '~ ~
~_L-r yIXg9U
, FVi~
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ALLOWNEDAUTOS I__ _ _
~BODILV INJURY _ ___- _ -
SCHEDULED AUTOS ~` ,~h .. ,l i (Per person)
.: p .. _.- - _ - -
HIREDAUTOS.'• _~~o'~'n •. .. BODILY INJURY
- (Per accitlenq
NON-OWNED AUTOS -
' PROPERTY DAMAGE

GARAGE UABILITY
AUTO ONLY-EA ACCIDENT
ANV AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
E%CESB UABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM $
_-' -WL-AKE~'CDMFENSATiGN APD`-' --_ --~- _LV - TA •_ - A- , -.
EMPLOYERS'UABIUTy I TORY LIMITS ER '
EL EACH ACCIDENT S
THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT
PARTNERffiEXECUTIVE
OFFICERS ARE
EXCL
EL DISEASE-EACH EMPLOYEE
HE
DESCRIPTION OF OPERATIONGILOCATIONSNEHICLESISPECIALlTEMS
RE: DESERADO MINE IN RANGELY, COLORADO (PERMIT #C-81-018)
CERTIFICATE HOLDER - ~ - - - CANCELLATION" ~-
' °"~ -" ~ ~'
_
SHOULD ANV OF TIE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORpING COVERAGE WILL ENDEgVOR TO MAIL -1- DAYS WRITTEN NOTICE TO THE
STATE OF COLORADO CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGNTION OR
DIVISION OF MINERALS 8 GEOLOGY
1313 SHERMAN ST., ROOM 215 LIABILITY OF ANT KIND UPON THE INSURER AFFORDING COVERgGE ITS gGENTS OR REPRESENTPTNES, OR THE
DENVER
CO 80203
, ISSUEfl OF THIS CERTIFICPTE.
MARSH USA INC.
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av: Jenny Martin ~L• a "'^ ~^N'~
- ---~-~ - ~ MM1(3l02) _-~ VALID AS OF: 12!24/02