2010-11-12_PERMIT FILE - C1981010A ‎(3)‎

• Permit No: C1981010A
• IBM Index Class Name: Permit File
• Doc Date: 11/12/2010
• Section_Exhibit Name: 1.0 Introduction
• Media Type: D
• Archive: Yes

, aco CERTIFICATE OF LIABILITY INSURANCE ° 10/181 `010
• - 1a16rzo10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. H SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER CONTACT
MARSH USA INC. NAME:
1225 17TH STREET, SUITE 2100 PHONE FA I
UtNVEH, GO 802U2 -5534 E-MAIL A
Attn: Denver.CertRequest @marsh.com i FAX [phone] U
USTOMEIt ID A:
567982 -00125 -ALL -10-11 INSURERS) AFFORDING COVERAGE I NAIC A
INSURED TRAPPER MINING, INC. INSURER A, Federal In C ompany 120281
- - -- - - -
PO BOX 187 IN B. N/ _ WA
CRAIG, CO 81626 INSURER c:
INSURER D:
INSURER E :
INSURER F
COVERAGES CFRTIFICOTF NIIMRFR• GFA- On171791R_73 DOVIQInu ur 10l0=0 -e
•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
--- -- - - -- - -- - - -
`NSR TYPE OF INSURANCE wDOI BR POLICY NUMBER N LICY EFF MMID LIMITS
A
GENERAL LIABILITY
37100018
1010112010
10101/2011
EACHOCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE LXJ OCCUR
A a a _
S 1.000,000
$1,000
MEDEXP JAryj one
PERSONAL 6 AOV INJURY
$ 1,000,000
GENERAL AGGREGATE
(2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
-.. -
_ 3 q
PRODUCTS - COMP/OP AGO
$ 2,000,000
PR LOC
POLICY
$
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
$ _.
S
ALL ONMED AUTOS
BODILY INJURY (Per accident)
S
SCHEDULED AUTOS
HIREDAUTOS
S
PROPERTY
(Per oiden!) AGE
NON -O NiEDAUTOS
S
$
UMBRELLA LI48
OCCUR
EACH OCCURRENCE
S
EXCESS ______
CLAIMS -MADE
AGGREGATE
$
DEDUCTIBLE
S
f
RETENTION S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTNE
OFFICERIMEMBER EXCLUDED?
NIA
M STATU- OTH-
_ TORY LIMITS_ -_ _.. ER.-
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYE
'_.--
E.L. DISEASE - POLICY LIMIT
f
(Mandatory in NH)
Il yes. deeolbe under
DESCRIPTION OF OPERATIONS below
- __--- _-.__— -
S
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Mach ACORD 101, AddlUenal Remarks Schedule, H mora space is raWIred)
RE: PERMIT#C -81 -010
POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. INSURER WILL
NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN THE POLICY INCLUDING ANY TERMINATION OR FAILURE TO RENEW.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
COLORADO DIVISION OF RECLAMATION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
AND SAFETY DEPARTMENT OF NATURAL RESOURCES ACCORDANCE WITH THE POLICY PROVISIONS.
1313 SHERMAN STREET - ROOM 215
DENVER, CO 80203 AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Sharon A. Hammer
®1988 -2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD
1 -61
Figure 1.5 -1 (A) Approved:
-