2011-10-04_GENERAL DOCUMENTS - C1981014

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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 LTR TYPE OF INSURANCE A INSR WVD CONTACT NAME: POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS NAIL # A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR INSURERS GL00011080 10/01/11 10/01/12 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100 000 CLAIMS -MADE MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X. POLICY PRO- LOC .IFCT $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS • NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE -- -- — -- -- - -- - –_ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ — – $ _— _._•_. _$_ — WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS �, / N N / A WC CY STATU- ITS I 1 ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) Reference: Kerr Mine: Permit #C -80 -006 and Southfield Mine - Permit #C -81 -014. OR °K CERTIFICATE OF LIABILITY INSURANCE A� 09//299 DATE 2 /11 /11 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. -. 970 -879 -1363 Brown & Brown Insurance 970- 879 -0239 675.Snapdragon Way; Suite 200 Steamboat Springs, CO 80487 Todd A. Hayes IV'E CONTACT NAME: PHONE FAX INC. o, Ext): (NC, No): E-MAIL ADDRESS: PRODUCER ENERG -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Energy Fuels Corporation Lindsay Yates ° CI 0 4 Z Q1 \ PO Box 773457 u41 Steamboat Springs, CO 80477-3 7 °I leciamat+on, minin9 a nd Safety INSURERA: Midwest Insurance Co 18694 INSURER B : INSURERS INSURER D : INSURER E : INSURER F : COVERAGES. CERTIFICATE HOLDER ACORD 25 (2009/09) CERTIFICATE NUMBER: CANCELLATION REVISION NUMBER: OP ID: T5 Colorado Division of Reclamati Mining and Safety Division of Minerals & Geology 1313 Sherman Street, Rm 215 (Denver, CO 80203 CNATURA 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 r . © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD