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2010-11-03_REVISION - C1981010
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2010-11-03_REVISION - C1981010
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Entry Properties
Last modified
8/24/2016 4:26:30 PM
Creation date
11/4/2010 10:18:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
REVISION
Doc Date
11/3/2010
Doc Name
Response to 2010 Midterm Review Comments
From
Trapper Mining Inc.
To
DRMS
Type & Sequence
MR215
Email Name
RDZ
Media Type
D
Archive
No
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• <br />r? <br />• <br />ACORD 1oro1 12009 <br />?' CERTIFICATE OF LIABILITY INSURANCE 10/01200°"""' <br />PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION <br />MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />1225 17TH STREET, SUITE 2100 HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR <br />DENVER, CO 80202-5534 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Attn: Denver.CeitReque5t@M3Tsh.CGm <br />INSURERS AFFORDING COVERAGE NAIC O <br />INSURER A Great Northern Insurance Company <br />INSURER 8: NIA ------?--...----------. .,_- NIA ?------ <br />CRAIG, CO 81626 <br />INSURER C: <br />INSURER O. <br />INSURER E' <br />COVERAGES <br />IHE POLICIES OF INSURANCE LISTED BELOW IIAVE nEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WIIICII THIS CERTIFICATE <br />MAY BE ISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS, EXCLUSIONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE IJMI'IS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />567982-00125-ALL-09-10 <br />INSURED- -- <br />TRAPPER MINING, INC. <br />PO BOX 187 <br />INSR ADO'L TYPE OF INSURANCE I <br />LTR WSRD POLICY NUMBER ra?T errecrna <br />DATE (IRaDOIYYYY[ nn,?r e..,..-„mow <br />GATE INrrODM'YYI LIMITS <br />GENERAL LIABILITY EACHOCCURRENCE <br /> <br />A X COMMERCIAL GENERAL LIABrtITY <br /> <br />1010112009 <br />10101!2010 O REME <br />PREMISE Eaaoaxrente ,• 1,000,000 <br />$ <br /> CUIMS MADE L X I OCCUR MEO EXP IAr y w pasvnj I s 10,000 <br />- PERSONAL & AOV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br />GENERAL AGGREGATF I IMIT APP( IFS PER PRODUCTS, COMPIOPAG $ <br />2,000,000 <br />PRO <br />• <br />X POLICY JECT LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMB <br />$ <br />ANY AUTO IF.a aer3den11 <br />-? -' <br />J ALL OWNED AUTOS BOOILV INJURY S <br />I ^ <br />11FDULITIAOTOR <br />f Ip?pw?) <br />, <br />. <br />?J <br />! ",RED AUTOS BODILY INJURY $ <br />--.I NnNAWNEO AUTO,' [Per accident) <br /> PROPERTY DAMAGE <br /> <br />GARAGE LIASITY AUTO ONLY - EA ACCIDENr $ - <br />1 ANY Auro <br /> <br /> <br />1 <br /> <br />I AUTO ONLY: <br />AUTO ONLY: AGG <br />$ <br />EXCESS I UMBRELLA LIABILITY I __ <br />EACH OGCURRE NGE _ $ <br />OCCUR CI AIMS MADE I 1AGGREGAtE _ <br />r- <br />V $ _ <br />DEDUCTIBLE <br />I <br />$ <br />RETENTION S <br />WORKERS COMPENSATION AND I Off' I <br />h <br />Y?AT i?I <br /> <br />EMPLOYERS-LIABILITY - <br />I _ <br />[- <br />EAGH ACCIDENT.. I -- <br /> <br />$ <br />ANY PROPPIETOR/PARTNERIEXECUTIVE Y IN 1 <br />1 <br />I _ <br />- <br />?- <br />E-" - <br />OFFICERIMEMBER EXCLUOEU? N .L. DISEASE • EA EMPLOY <br />M <br />E <br />R s <br /> - <br />A •-??_ <br />- <br />SPECIAL PROVISWNS below <br />OTHER <br />DESCRIPTION OF OPERATIONSIL(>CATIONSNEHICLES$EXCLUSIONS ADDED BY ENDORSEMENTISPECWL PROVISIONS <br />RE: PERMIT NC-81.010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. INSURER WILL <br />NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN LHE POLICY INCLUDING ANY TERMINATION OR FAILURE TO RENEW. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />COLORADO DIVISION OF RECLAMATION EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL OWI(A49" MAIL <br />AND SAFETY DEPARTMENT OF NATURAL RESOURCES 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 SHERMAN STREET - ROOM 215 X11%?XD(1tl?(9fXIWC?KOl??t34?109XXWMKLXttdtB(lOXlOIb <br />DENVER, CO 80203 <br />1Dr KXKXX)MXX)tgls&=XXXKXXXXO136 XXX)MXXXWR1E813WIXNNtlt. <br />8f M1E9E /mE?, <br />or Ntat ? U <br />i 541nn. (_ n 4„ <br />Sharon A. Hammer <br />ACORD 25 (2009101) © 1998.2009 ACORO CORPORATION. All Rights Reserved <br />The ACORD name and logo are registered marks of ACORO <br />Revision: M L- 2 i s <br />1-61 <br />Figure 1.5-1 (A) <br />Approved:
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