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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 />• <br />(12009 VYYY) <br />.acoieo' 1 <br />--, CERTIFICATE OF LIABILITY INSURANCE 10o10ro, 2oos <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.CeltRequestalmarsh.com <br />INSURERS AFFORDING COVERAGE NAIC 0 <br />INSURED INSURER A. Great Northern Insurance Company - <br />TRAPPER MINING, INC. ----- <br />PO BOX 187 INSURER B: NIA NIA <br />--- ---...- <br />CRAIG, CO 61626 I <br />NSURER C' <br />INSURER 0.. <br />COVERAGES <br />IHE POLICIES OF INSURANCE LISTED BF.LOW IIAVE nF.EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE <br />MAYBE ISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSLONS AND <br />CONDITIONS OF SUCH POLICIES. AGGREGATE IJMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />567992-00125-ALL-09-10 <br />INSR ADD'L TYPE OF INSURANCE <br /> <br /> <br />LTR INSRD POLICY NUMBER <br />muc(MM T e. recr veNYYY) <br /> <br />uATE <br /> <br />.,,.r,. <br />.+n,c 0Ar9r a.r1MW0;;YYY1 UNITS <br />GEN RALLIABILITY EACH OCCURRENCE 1 oOR? <br />COMMERCIAL GENERAL LIABILITY I <br />A <br />X <br /> <br /> <br /> <br />10101!2009 <br /> <br />10/01/2010 <br />OREME <br />AMA <br />PREMISE Eaoaurrence _ <br />$ 1,000,000 <br />-,__. <br /> j CLAIMS MADE I ^ I OCCUR I MEG EXP(Any one parson $ 10,000 <br />_ PERSONALS AOV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 2,400,000 <br />GENERAL AGGRE.GATF I IIMIT APPLIF..S PER PRODUCTS - COMPIOP AG $ <br />2,000.000 <br />PRO. <br />X POLICY JECT LUC _ <br />AUTOMOBILE LIABILITY <br /> <br />-? ANY AUTO COMBINED SINGLE LIMB <br /> <br />(EAMG1I <br />i <br />S <br />$ <br />ALL OWNED AUTOS NJU <br />BODILYINJURY <br />S <br />l:I IFDULED AIJTO i <br />^ <br />, <br />HIREO AUTOS BODILY INJURY $ <br />--? NOM-OWNED AUTOS (Pa accident) <br /> PROPERTY DAMAGE <br />$ <br /> (Per aeoeenq <br />GARAGE LIABILITY AUTOONLY - EA ACCIDENT $ <br />ANY AUTO I I OTHER THAN EA AGC $ <br /> <br />I <br />I AUTO ONLY: qGG $ <br />EXCESS I UMBRELLA LIABILITY I _ <br />?PJ1CH OGGURRE NGE $ <br />OCCUR (I AIMS MADE( I (AGGREGATE <br />1 $ - -_- <br />DEDUCTIBLE I <br />I I <br />$ <br />RETENTION S I $ <br />WORKERS COMPENSATION AND f `WC STATU• OTH- <br />f70RY1 <br />IMITSI <br />EMPLOYERS'LIABILIYY <br />I . <br />rr _.- <br />EACH ACCIDENT I <br />EA S <br />ANY PROPRIETOR/PARTNEWEXECUTIVE Y!N <br />OFFICERIMEMBER EXCLUDED? I . <br />~!- - <br />r <br />1i <br />N <br />.. ._. ..... .. ... .__ I r.L. DISEASE • EA EMPLOYER <br />- __ __ -- ---- <br />;;PECW. ROVI.,rO SMrlaw <br />OTHER <br />DESCRIPTION OF OPERA71ONSILOCATIONSAIENICLES(EXCLUSIONS ADDED BY ENOORSEMENTISPECWL PROVISIONS <br />RE: PERMIT AC-81.010 <br />POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE Or EXPLOSIVES. INSURER WILL <br />NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN I'HE POLICY INCLUDING ANY TERMINATION OR FAILURE 1`0 RENEW. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE <br />COLORADO DIVISION OF RECLAMATION EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL 0 W1kX4 W V MAIL <br />AND SAFETY DEPARTMENT OF NATURAL RESOURCES 31) DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />1313 SHERMAN STREET - ROOM 215 tIKNIfD(1(9tl(iN1AY?M0(?4tlA?10911XaKIKAt1t?14N4i1mlb <br />DENVER, CO 80203 <br />fO mXXxwXX)wmomylxXtBXXXXOMXXX)MXXXWIt <br /> a U i I rq." h 11 raE ncSeNr?mL >q?c..?.,, c???_zr.v.>,E-ems <br />- ?_ <br />Sharon A. I Jammer <br />ACORD 25 (2009101) © 1998.2009 ACORD CORPORATION. All Rights Reserved <br />• The ACORD name and logo are registered marks of ACORD <br />Revision, IK4 -Zf -- <br />1-61 Approved: <br />Figure 1.5-1 (A)
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