2011-08-22_GENERAL DOCUMENTS - C1981025

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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. INSR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POUCY EFF (MMlDD/YYY1n P ! XP (MM!DDlDD UMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X INSURER B : 3X6490411 09/01/2010 09/01/2011 INSURER 0 $1,000,000 $100,000 E EA A CCH pG O E C 7 C p URRR E ENCE PREMIgES (Ea Ofrr�ce) INSURER F: CA Resident License #0757776 CLAIMS -MADE I XI OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2 000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: JECT 1 1 LOC PRODUCTS - COMP/OP AGO $2,000,000 $ A AUTOMOBILE X — X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS X _ SCHEDULED AUTOS NON -OWNED AUTOS X 3X6490411 09/01/2010 09/01/2011 COMBINEdent) D S INGLE LIMIT (Ea acc 81,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS MB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENT ON $ $ WORKERS COMPENSATION AND EMPLOYERS' UABLITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N OFFICER/MEMBER EXCLUDED? u (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N WC STATU- I 10TH- TORY I NITS FR ' L. E. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ■ more space is required) Re: North Thompson Creek Mines, DRMS Permit C- 1981 -025. State of Colorado, Division of Reclamation Mining & Safety is included as an Additional Insured per attached CG2013(5 -09). 30 days notice of cancellation is provided by endorsement IL7338(8 -10) attached. ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (NSVOO/YYYY) Oa „tip„ 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 polity(ies) must be endorsed. If 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 HUB International Ins Svcs Inc 2742 Crossroads Blvd Grand Junction, CO 81506 �� 970 245 -8011 NAAE Anita C Keller PHONE 970 F^X 866-9084374 (NC, No, Eat): (AlC, No): EdMAIL ADDRESS: anita.keller@hubinternational.com INSURER(S)AFFORDING COVERAGE NAIC INSURER A: EM Insurance Companies 25186 o\ INSURED �5 �� • Minrec Inc pl 627 24112 Rd Unit H+� d V Grand Junction, CO 81505 �� lP INSURER B : INSURER C: INSURER 0 INSURER E: INSURER F: CA Resident License #0757776 COVERAGES CERTIFICATE HOLDER CERTIFICATE NUMBER: CANCELLATION SBHOLDINI REVISION NUMBER: State of Colorado Division of Reclamation Mining & Safety 1313 Sherman St, Rm #215 Denver, CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ‘24,..64.41 . M c�, ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of I The ACORD name and logo are registered marks of ACORD #S12816331M1281627 AK01