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2008-11-07_GENERAL DOCUMENTS - C1981014 (2)
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2008-11-07_GENERAL DOCUMENTS - C1981014 (2)
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Last modified
8/24/2016 3:37:47 PM
Creation date
12/3/2008 2:00:14 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981014
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
KAG
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 />Late: t t///LUUB UO. 10 r m r-ayc. , <br />DATE (MMlDDIYYYYy <br />ACORD CERTIFICATE OF LIABILITY INSURANCE EN CSR ERG-1 T5 11/07/08 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Steamboat Spgs POB 775043 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2130 Resort Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Steamboat Springs CO 80477-5043 <br />Phone:970-879-1363 Fax:970-879-0239 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED INSURER A: Patch Insurance Company 11150 <br />INSURER B: <br />Energy Fuels Corporation INSURER C' <br />Lindsay Yates <br />PO BOX 773457 INSURER D: <br />Steamboat Springs CO 80477-3457 INSURER E <br />COVERAGES <br />SURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN <br />OCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER D <br />EXCLUSIONS AND CONDITIONS OF SUCH <br />HEREIN IS SUBJECT TO ALL THE TERMS <br />, <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> POLICY NUMBER DATE (MMIDDlYY) DATE (MMIDD/YY) LIMITS <br />LTR N SR TYPE OF INSURANCE <br />ACH OCCURRENCE <br />000 <br />$ 3 <br />000 <br /> GENERAL LIABILITY <br />0243-01 <br />10/01/08 <br />10/01/09 E <br />PREMISES (Eaoccurence) , <br />_ <br />$100,000 <br />A X COMMERCIAL GENERAL LIABILITY CSPKG0 MED EXP (Any one person) $5,000 <br /> CLAIMS MADE X? OCCUR PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> L AGGREGATE 000 <br />$2 <br />000 <br /> GENERA , <br />, <br /> PRODUCTS - COMP/OP AGG 0 0 0, 0 0 0 <br />$ 2 <br /> GEN'L AGGREGATE LIMIT APPLIES PER'. , <br /> T& LOC <br />X POLICY <br /> I <br />AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />(Ea accident) $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br />(Per person) $ <br /> SCHEDULED AUTOS <br /> HIRED AUTOS BODILY INJURY <br />(Per accident) $ <br /> NON-OWNED AUTOS <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> <br /> EA ACCIDENT <br />TO ONLY $ <br /> GA RAGE LIABILITY - <br />AU <br />EA ACC <br />$ <br /> ANY AUTO OTHER THAN <br />AUTO ONLY. AGG $ <br /> EACH OCCURRENCE $ <br /> EXCE33fUMBRELLA LIABILITY <br /> AGGREGATE $ <br /> OCCUR CLAIMS MADE <br /> <br /> <br /> DEDUCTIBLE <br /> $ <br /> RETENTION - <br /> <br />WORKERS COMPENSATION AND MITS ER <br />TORY LI <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ <br /> OFFICER/MEMBER EXCLUDED? <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT <br />$ <br /> SPECIAL PROVISIONS below <br /> OTHER <br />DES CRIPTION OF OPERATIONS I LOCATIONS I VEHIC LES I EXCLUSIONS ADDED BY ENDORSE MENT/ SPECIAL PROVI SIONS <br />Re ference: Kerr Mine: Pe rmit #C-80-006 <br />an d Southfield Mine - Per mit #C-81-014. <br /> CAIIi 1 AT ION <br />CERTIFICATE HOLDER <br />Colorado Division of Reclamati <br />mining and safety <br />Division of Minerals & Geology <br />1313 Sherman Street, Rm. 215 <br />Denver CO 80203 <br />ACORD 25 (2001108) <br />CNATURA 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. <br />ACORD CORPORATION 1988
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