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2009-10-23_GENERAL DOCUMENTS - C1980006
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2009-10-23_GENERAL DOCUMENTS - C1980006
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Last modified
8/24/2016 3:56:25 PM
Creation date
10/23/2009 3:20:37 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
10/23/2009
Doc Name
Response to October 8, 2009 Liability Insurance Certificate
From
Energy Fuels Coal Inc
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JHB
Media Type
D
Archive
No
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'turn: Terri S. Montag, CIC At Brown & Brown Ins Fa da To: George Date: 9!302009 08:49 AM Page: 2 of 1 <br />ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR l X09 9 <br />PRODUCER THIS CERTWICATE 18 ISSUED AS A MATTER OF INFORMATION <br />Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />-S Snapdragon Way Ste 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />). Box 772967 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />steamboat Springs CO 80477-2967 <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 INSURER C: <br />Lindsay Yates <br />PO Box 7 7 3457 INSURER D: <br />steamboat Springs CO 80477-3457 <br />INSURER E: <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 />ors irtcc nnracr.ATF I IMITS SFid)WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE (MaNDD/YY) DATE (MM MDIYY) LIMITS <br /> GENERAL LIABLfTY EACH OCCURRENCE $1,000,000 <br />A X COMMERCIAL GENERAL LIABILITY CSPKG00243-01 10/01/09 10/01/10 PREMISES (Es earaence) $100,000 <br /> CLAIMS MADE ® OCCUR MED E)P (Any am i>trsen) $5,000 <br /> PERSONAL A ADV NJURY $1,000,000 <br /> GENERAL AGGREGATE s2,000,000 <br /> GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $2,000,000 <br /> X POLICY ,EC LOC <br /> AUT OMOBILE LIASL TY COMBINED SINGLE LIWT $ <br /> ANY AUTO (Ee accideM <br /> ALL OWNED AUTOS BODILY INJURY <br />P $ <br /> SCHEDULED NJTOS ( <br />er P-) <br /> HIRED AUTOS BODILY INJURY s <br /> -NON=OWNED AUTOS _ (Per acdderlt)_ - - _ <br /> PROPERTY DAMAGE <br />t s <br /> (Per awder <br />) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCDENT $ <br /> ANY AUTO OTHER THAN EA ACC S <br /> F AUTO ONLY: AGG $ <br /> E%CESSANIBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ? CLAIMS MADE AGGREGATE $ <br /> f <br /> DEDUCnBLE $ <br /> RETENnON $ IF <br /> WORKERS COMPENSATION AND TORY LIMBS ER <br /> EM'PLOYERS' UABI.RY E.L. EACH ACCIDENT $ <br /> ANY PROPRIETORIPARTNEWEXECUTIVE <br />OFFICER/MEIYeER E)(CLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />S <br /> If yes, describe Index <br />SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT s <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEM <br />[`_ewanAnv will notify the Div ENT 1 SPECUIL PROVISIONS <br />ision 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 />CERTIFICATE HOLDER CANCELLATION <br />Colorado Division of Reclamati <br />Mining and Safety <br />1313 Sherman Street <br />215 Centennial Buiding, Rm 215 <br />Denver Co 80203 <br />25(2001108) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPRATKIN <br />DATE THEREOF. THE isms G USURER wLL ENDEAVOR TO MAL 30* DAYS vvwrr.N <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL <br />SWOSE NO OBLIGATION OR LUIBLITY OF ANY FOND UPON THE INSURER. ITS AGENTS OR <br />REI TEN IATNES. <br />O <br />TION
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