My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL53871
DRMS
>
Back File Migration
>
General Documents
>
GENERAL53871
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 8:39:17 PM
Creation date
11/23/2007 9:01:00 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
10/19/2007
Doc Name
Certificate of Insurance (Fax)
From
Energy Fuels Coal Inc
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
3
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
10/18/2007 la: a4 FA% <br />rdn: t MIT e. Montag At Brown & brown Ins Fax10: &OWT and grown In9U To: GaD/ge <br />~oo~ <br />Calm: 1O/78/J1f07 09:33 AM Page: d of 1 <br />acoRa GERTIFICAYE QF h-lABIL1TY INSURANCE CSR 7,'5 GATE l1AhYEa/YYYYI <br />s~acnra-1 1o xs o7 <br />"ROOD THIS CERTIFCATE IS ISSUEO AS A MATTER OF INFORNsATiO1V <br />Drown G Srataa taettranca ONLY AND CONFERS NO RIGMTS UPON THE CERTIFCATE <br />eamboat SQga POS 773043 HOLDER. TNl6 CERTIFICATE DOES NOT AAAENO, EXTEND OR <br />~ }}D ~Reaart Di^ivq ALTER THE COVERApE AFFORDE4 BY TfiE POLICIES 6ELOW. <br />ISCeamaPat Springs Co 80477-5043 <br />I Phone: 970-E79-1363 Fax: 970-879-0239 INSURER&AFFOROING COVGRApE NAICN <br />wE11RE~ _.._ .... ... _. ...., .... .,_.. .... ......_ _......,,. ....,.... <br />INSIRERA' A2C]1 15t61tLaIICe C 11150 <br />IPIbUrtER B. <br />Sgergy 8uels Coxgosatioa <br />9t mndat39pziags C6 50477-9457 IrueursRO; __... --.-_-- ~`..._......__ <br />INa`(JRER E: <br />THP PCM.IGES OF INSLIRMICF 1 L57Fn?E1_CW HAVE BEEN IFFUED TOTE INSLrtFT1 NAAFD ABOVE FDR T!E P01ICY PFAIDn e~gICAlEO. ND7Nrtn1.57ANDIHG <br />MIY F£AUIRFMF.PR, ':ERM DR CDM)RICN OF qM' CCFRRACr OR OTHER bCCUMENT VJRH I$5PeG770 MAill]i l11l5 CJTITIFICArE MAY BE ISSLED OR <br />MAY PF.RTAW, T-tE INSlX7MY_L N7CYNED BY Tlf POLICIES DESCRIBED HETlEIN IS GtKfJLT,? TO ALL TFE TEALGS, Ex(XUSIDNS HLD CDNDRR'NS ~ 6'UCN <br />P(1l IUEL'. ACw;nECwT[ UMII S ST1OWN MAY FIAVE L$FT! REDl1CED BY PAID CLAIMS <br />wBR <br />LYR _._.__ ,.... <br />ME OF IN8191ANCE .... .... .-... <br />PPI.ICY Nla®Hi <br />pp <br />byL7E ...~~ -.._....._ <br />u{Ina <br /> ~~'+'~ EAalacculaENCE s1,a0a,tlOD <br /> x GoM.eRr_IAL C{nErmL UABILRV CSYkCLa00248 10/01/07 SO/01/00 PREMYSes rEa uccwmca 6100 000 <br /> . l ClA1MS MP(J)(: ~ OCCLT: hi® EW~` Wy ere P•n^n) _ t S ~ ape <br /> PETTSDNALeabv lNJt3r F1,OOD,OtlO <br /> Ga7FRAi AGGREGATE i8,tltlp,tlpp <br /> GEHL AGI,{iEGAfc LIMB AFSttES i+Ex: PRCDtA:is-CCMPWP AGG s 2,Op0,060 <br /> ][ PCUCY $CY lOC <br /> AIJT pTtp9hE LIIIaBfIY <br />ANY ANfO CDMBIrED SINGLE LIMB <br />IEa ePtimrol <br />i <br />•M• <br /> ALL OWNED AUTDy' <br />5CHEDU.ED AUTOu RECCEd ~p BODILY INJURY <br />(Per PefeM) i <br /> _- tl'I>rDAUrtG <br /> <br />NON-OYYNED ANUS OCT 19 001 <br />BODILY INAIRY <br />IPeracelaetq <br />t <br /> Division of Rec • mation, PROPERTY owwu-,E t <br />~ ""' Mining and afety (Per.cuaem <br /> GARAaE UAat.IrY AU70 DriY-EAACCIbEN7 T <br /> ANYAUro orNERlww EAAac s <br /> ALRO cNLY: AGO i <br /> ExCEBBAAimRF11A LUBLT' EAQIDCCLaRENCE t <br /> OCCUR ~ CLAIM^u MP17E M.~~-aATE S <br />. <br />~. <br /> <br />... <br />.. ._ <br />_, <br />i <br /> DE~UI'TIDIE . <br />..__.__ <br />- _i <br /> <br /> INORMEas coupEr~LgA710l1 AN0 TDRV LIMITS FYi <br /> ~~~ LL~a]TY <br />ANY PRDPRIERYIRARThIFFIFJcGCIJIYVE EL EACIi ACCIDIdVT S <br />. <br />.,."- <br /> cr,IrsRnuF~un EKCLUDEtT7 EL DI/;EnCL' - G4 CMPLO]'GC .. <br />. <br />i <br /> if w,. dlccribF laldor <br />SP[CIAI PRDVISIUNS Qebn <br />El. DID • POLICY LIMIT <br />{ <br /> DYla7i <br />] PYIDN OFO RA /L DNB/Y ! uevlue BY BOORBEl1 EMl <br />Reterwca: ftatoa Creeh Heine: Permit is-82 -OS5; FCesr Mine: Pe7ait ~C-ea-o0d <br />and South£ielp tsiae ' Permit *C-Si'p14. <br />~ gonthfielC Mine - Penoi.t ~C-31-014 <br />I ColoradA Dep^~*rTt d4 <br />y Natural ttaaouscea <br />Division oY Miaerala s GeelCgy <br />1313 Sherama Street, Am 215 <br />DeaVet~ CO 802p3 <br />~~~ sHalLOrmoFTl~nawaosacR>B~voucaaescul~t.LLme~saran~exrwA'noN <br />oAren7EatroF,tNElsauauGBam.La+t>EAVDRTnIwAa SD• oarswmrleN <br />NDTCE T] TIC c4~IGTc NOID@R NAMED 1V TIE LEFT, BNY FAI WRi lb DO SO SHALL <br />aDO6E ~ aw-IwTIDN DR Llaenm DF,tNY M4VD UpON'1T~ IrvBUIGR, Rs AcENr6 bR <br />
The URL can be used to link to this page
Your browser does not support the video tag.