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l+?LlA1 111d14 <br />- ".- - -0 t,nenwt- ILJILG7 ?- --- - <br />ACORD,M CERTIFICATE OF LIABILITY INSURANCE <br />9/DATE <br />01/2010/YYYY) <br />PRODUCER <br />HUB International Ins Svcs Inc <br />2742 Crossroads Blvd 1 i`I ?ED THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />AHOLDER. THIS CERTIFICATE DOES LTER THE COVERAGE AFFORDED BY THAMEND, EXTEND OR <br />E POLICIES BELOW. <br />Grand Junction, CO 81506 Q <br />970 245-8011 P 0 8 Z010 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />60a?lon, <br />INSURED INSURER A: EMC Insurance Companies 999999 <br />lull ut ?6 <br />Minrec Inc plVt? safety <br />and INSURER B: <br />627 24 1/2 Rd Unit H WInln9 INSURER C: <br />Grand Junction, CO 81505 INSURER D: <br /> INSURER E: <br />GOVtKAGtS <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 />IREMENT <br />, <br />ANY REQU <br />FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />MAY PERTAIN, THE INSURANCE AF <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN SR <br />LTR DD <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE MM/DD/YYYY POLICY EXPIRATION <br />DATE MM/DD/YYYY LIMITS <br /> 3X6490411 09/01/2010 09/01/2011 EACH OCCURRENCE $1,000,000 <br />A GEN ERAL LIABILITY TED <br /> GENERAL LIABILITY DAMAGE TO REN $100000 <br /> X MMERCIAL <br />E 51OCCUR <br />! MED EXP (Any one person) $5,000 <br /> CLAIMS MAD PERSONAL & ADV INJURY $1,000,000 <br /> <br /> GENERAL AGGREGATE s2,000,000 <br /> <br /> MIT APPLIES PER: <br />' PRODUCTS - COMP/OP AGG s2,000,000 <br /> L GGREGATE LI <br />FEN <br />_ <br /> j PRO LOC <br />POLICYF <br />JECT <br />A AUT OMOBILE LIABILITY 3X6490411 09/01/2010 09/01/2011 COMBINED SINGLE LIMIT $1 <br />000,000 <br /> X O (Ea accident) , <br /> ANY AUT <br /> ALL OWNED AUTOS BODILY INJURY $ <br /> <br />TOS (Per person) <br /> SCHEDULED AU <br /> X HIRED AUTOS BODILY INJURY $ <br /> X OS (Per accident) <br /> NON-OWNED AUT <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> GA RAGE LIABILITY <br /> HER THAN EA ACC <br />O $ <br /> ANY AUTO T <br />AUTO ONLY: AGG $ <br /> ABILITY EACH OCCURRENCE $ <br /> EXCESS / UMBRELLA LI <br />FICLAIMS MADE AGGREGATE $ <br /> OCCUR - <br /> <br /> $ <br /> R DEDUCTIBLE <br /> RETENTION $ $ <br /> - <br />WC STATU- OTH <br /> WORKERS COMPENSATION AND <br />_ EMPLOYERS' LIABILITY '-^ - .- -- - -- <br />ECUTIVE -? - I - - -- _ -"-- - - '--- - -- - -- -- <br />E.L. EACH ACCIDENT <br />$ <br /> ANY PROPRIETOR/PARTNER/EX <br />Mandatory in NHR EXCLUDED? <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br /> <br /> If yes, describe under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br /> SPECIAL PROVISIONS below <br /> <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Re: Blue Ribbon Mine - File No C-81-047. State of Colorado, Division of <br />Minerals & Geology is included as Additional Insureds per attached CG2012(5-09). <br />State of Colorado <br />Division of Minerals & Geology <br />1313 Sherman St, Room 215 <br />Denver, CO 80203 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'In_ 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 />A HORIZED EPR?SENyTA?TIVI <br />ACORD 25 (2009/01) 1 of 2 #S830901/M830893 U <br />The ACORD name and logo are registered marks of ACORD AK01