GENERAL55081

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

MARSH CERTIFICATE OF INSURANCE '~`E"T"""TE"°MBER
SEA-D00539524-02
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS '
PRODUCER
Marsh USA Risk ~ n$Dran G2 $erVIGBS nC. 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 OR ALTER THE COVERAGE
SaR Lake City, UT 84117 AFFORDED BV THE POLICIES DESCRIBED HEREIN.
Attn: JENNY MARTIN 801-539-7400 COMPANIES AFFORDING COVERAGE
COMPANY
00110-- STATE A GREAT NORTHERN INSURANCE CO
INSURED' COMPANY -
' :Deseret Generation 8 Transmission B - --- - - - - -
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L --a South Jordan, UT 84095 ®
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- ~~- -• ~ - This certificate supersedes and replaces any previously issued certificate for tbe-policy p~fldUil~ blow.
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THIS IS TO CERTIFY THAT, POLICES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICYJNDICATED.
NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUE+~QIBQtAV
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGRE TE
UMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE IMM/DDNYI DATE (MMIDD/YV)
A GE NERAL UABIUTY 73194464 12/30/02 12/30/03 GENERAL AGGREGATE $ 2,000,000
~' COMMERCIAL GENERAL UABIUTY PRODUCTS-COMP/OP AGG $ 2,000,000
CLAIMS MADE ~ OCCUR PERSONAL 8 ADV INJURY $ 2,000,000
OWNER'S BCONTRACTOR'S PROT EACH OCCURRENCE $ 2,000,000
~ ~ FIRE DAMAGE (Any one fre) $ 1DD,DDD
- ~ MED EXP An one erson $ 10,000
AUT OMOBILE LIABILITY
COMBINED SINGLE LIMIT
ANYAUTO
- - .. _. _ _ .. -.. - ._ _
-1„V.y n i in'D.
r:
ALLOWNED AUTOS BODILY INJURY
SCHEDULED AUTOS eu ~'q^/.
' - - - - - ~ (Per Derwn) - -- - - ----
e, _
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HIRED AUTOS _ BODILY INJURY
(Per acaden0
NON-OWNED AUTOS
PROPERTY DAMAGE

GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT
ANV AUTO OTHER THAN AUTO ONLY;
EACH ACCIDENT
AGGREGATE
EXLES$UABIUTY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE S
- OTHER THAN UMBRELLA FORM- -~--~ - - - --- --- ~-~ -.,h-'--~- -
WORKERS COMPENSATION AND WC TATU-
EMPLOYERS'LIABIUTY TORY LIMITS ER
EL EACH ACCIDENT
THE PROPRIETOR/
T
E
CU INCL EL DISEASE-POLICY LIMIT $
PAR
N
RSIEXE
TIVE
OFFICERS ARE:
EXCL
EL DISEASE-EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHIGLES/SPECIAL ITEMS
RE: DESERADO MINE IN RANGELY, COLORADO (PERMIT #C-81-018)
CERTIFICATE HOLDER - ' ' ' -- " ~
"~ CANCELLATION'"•r `~.~>'° ~' ~ - ""`-~~`
BMOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF,
THE INSURER gFFORDING COVERAGE WILL EI~X~' MAIL ~- DAYB WRITTEN NOTICE TO TXE
STATE OF COLORADO

DIVISION OF MINERALS & GEOLOGY CERTIFICATE HOLDER NAMED XEREIN. 8UT FAIWRE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
1313 SHERMAN ST., ROOM 27 5 LIABILITY OF ANY RIND UPON NE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES.ORTRE
DENVER, CO 80203
ISSUER OF THIS CERTIFICAi£.
MARSH USA INC.
Bv: Jenny Martin ~A1A'~1~IL~N11.+
MM1(3/02) VALID AS OF: 12124!02