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2008-11-07_GENERAL DOCUMENTS - C1980006
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2008-11-07_GENERAL DOCUMENTS - C1980006
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Last modified
8/24/2016 3:37:47 PM
Creation date
12/3/2008 1:59:54 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/7/2008
Doc Name
Certificate of Liability Insurance (Faxed)
Permit Index Doc Type
Insurance
Email Name
JHB
Media Type
D
Archive
No
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From: Terri S. Montag At: Brown & Brown Ins FaxID: Brown and Brown Insu To: Janet Binns <br />Date: 111-712008 U8: 'I a HIVI rage: z or i <br />ACORD CERTIFICATE OF LIABILITY INSURANCE ENERGCSR-1 1 DATE(MM/DD/ 11/07//0 <br />08 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Brown & Brown Insurance THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />HOLDER <br />Steamboat Spgs POB 775043 . <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />2130 Resort Drive <br />Steamboat Springs CO 80477-5043 <br />Phone:970-879-1363 Fax:970-879-0239 INSURERS AFFORDING COVERAGE NAIC9 <br />INSURED INSURER A. Arch Insurance Company 11150 <br /> <br /> INSURER B <br />Energy Fuels Corporation INSURER C <br />Lindsay Yates <br />PO Box 773457 INSURER D: <br />Steamboat Springs CO 80477-3457 <br /> INSURER E. <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT <br />, <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR NSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MMfDDfYY) LIMITS <br /> Y <br />ITY EACH OCCURRENCE $ 1 , OOO , OOO <br /> LIABIL <br />ERAL LIABILITY <br />CSPKGO0243-01 <br />10/01/08 <br />10/01/09 NTED- ? <br />PREMISES (Ea cQurencl) <br />$100,000 <br />pA GEN <br />E X? OCCUR MED EXP (Any one person) $ 5 , 000 <br /> r <br />AD PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> 0 0 0 <br />0 0 0 <br /> GENERAL AGGREGATE , <br />$ 2, <br /> 000 <br />000 <br /> MIT APPLIES PER PRODUCTS - COMP/OP AGG $ 2 , <br />, <br /> . <br />LI <br /> PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accident) $ <br /> <br /> ANY AUTO <br /> AL L OWNED AUTOS BODILY INJURY <br />(Per person) $ <br /> <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br />(Per accident) $ <br /> <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE <br />(Per accident) $ <br /> <br /> ILITY AUTO ONLY - EA ACCIDENT $ <br /> GA RAGE LIAB OTHER THAN EA ACC $ <br /> ANY AUTO AUTO ONLY. AGG $ <br /> BRELLA LIABILITY EACH OCCURRENCE $ <br /> EXCESS/UM <br />AIMS MADE <br />? AGGREGATE $ <br /> CL <br />OCCUR <br /> $ <br /> <br /> DEDUCTIBLE <br /> RETENTION $ _ <br /> TORY LIMITS ER <br /> WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> If yes, describe under E.L. DISEASE - POLICY LIMIT $ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Issuing insurance Company will notify the Division whenever the policy is <br />terminated by cancellation or failure to renew provided however failure to <br />mail such notice shall impose no obligation or liability of any kind upon <br />the issuing insurance Company, its agents or representatives. <br />*10 Day Notice for non-payment of premium per Colorado Law. <br />%,r-m I Iri6 m 1 C -- <br />Colorado Division of Reclamati <br />Mining and Safety <br />1313 Sherman Street <br />215 Centennial Buiding, Rm 215 <br />Denver CO 80203 <br />ACORD 25 (20011081 <br />© ACORD CORPORATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES.
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