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2008-11-07_GENERAL DOCUMENTS - C1980006 (2)
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2008-11-07_GENERAL DOCUMENTS - C1980006 (2)
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Last modified
8/24/2016 3:37:47 PM
Creation date
12/3/2008 2:00:28 PM
Metadata
Fields
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)
To
DRMS
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: 11/7/2008 08:13 AM Page: 5 of 7 <br />CSR <br />ACORD CERTIFICATE OF LIABILITY INSURANCE DATE <br />(MMlDD <br />-1 <br />ENERG <br />08 <br />7//08 <br />11/0 <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 FOB 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: Arch Insurance Company 11150 <br /> INSURER B' <br />Energy Fuels Corporation <br /> <br />Lindsay Yates INSURER C <br />PO BOX 773457 <br />Steamboat Springs CO 80477-3457 INSURER D: <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 />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <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 /> <br />LTR <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE (MMIDDIYY) I-01-Ir-YEAFIKAHLIN <br />DATE (MMIDDfYY) <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 <br />Pa X COMMERCIAL GENERAL LIABILITY CSPKGO0243-01 10/01/08 10/01/09 PREMISES(Ea occure nce) $ 100,000 <br /> <br /> CLAIMS MADE X? OCCUR MED EXP (Any one person) $ 5,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 <br /> X POLICY PECROT LOC <br />J <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea accident) $ <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY AGG $ <br /> EXCESS/L MBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ? CLAIMS MADE AGGREGATE $ <br /> <br /> F DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />' TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />Reference: Kerr Mine: Permit #C-80-006 <br />and Southfield Mine - Permit #C-81-014. <br />CERTIFICATE HOLDER CANCELLATION <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 />Colorado Division of Reclamati. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Mining and Safety IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Division of Minerals & Geology <br />1313 Sherman Street, Rm 215 REPRESENTATIVES. <br />Denver CO 80203 AUTHORIZED ?EPRESEN T,/)TIVE
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