2011-09-20_GENERAL DOCUMENTS - C1981025

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COVERAGES ct KIIriLAIeNUIVIOCR: . - - - -- -- 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 CONDRION 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. LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM /DDIYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A X 3X6490412 09/01/2011 09/01/2012 EEpAAqCHOEECCURRENCE $1,000,000 GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY PREMISE ence) $100,000 $ 5,000 $1,000,000 $2,000,000 MED EXP (Any one person) CLAIMS -MADE I X OCCUR PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG $2,000,000 $ GEN'L AGGREGATE POLICY LIMIT APPLIES PER: 11 LOG A JJFC LIABLITY X _ 3X6490412 - _ 09/01/2011 09/01/2012 C OMBINED S INGLE LIMIT (Ea acddentl $ 1,0°0,000 -- $ AUTOMOBILE X X BODILY INJURY (Per person) ANY AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NAUTOS ON -OWNED BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLALIAB EXCESS UAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEC RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ! A WC STATU I I OTH TORY I IMITF FR E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION Re: Colorado, Additional OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) North Thompson Creek Mines, DRMS Permit C- 1981 -025. State of Division of Reclamation Mining & Insured. 30 days notice of cancellation ,is is included provided. as an �C): S ,� c 7s311 t' . n'."tT111 t" CERTIFICATE HOLDER Client#: 123725 SBHOLDIN1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 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. 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 INSURED Minrec Inc 627 241/2 Rd Unit H Grand Junction, CO 81505 CONTACT An i NAME: Anita Keller PHONE 970- 245 -8011 (A/C, No, Ext): FAX 866- 908 -6374 (A/C, No): n'DDRlEss: anita .keller @hubinternational.com INSURER(S) AFFORDING COVERAGE INSURERA: Employers Mutual Casualty Compa INSURER B : INSURER C : INSURER D : INSURER E : INSURER F: CA Resident License #0757776 I DATE (MM/DD/YYYY) 9/16/2011 NAIC # 21415 CA • BER: 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 6 p.C•e tA .GG . G/,efe.,0 4 I © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1317375/M1317106 DCO2