2011-10-06_GENERAL DOCUMENTS - C1980006

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UOVtKAIJtb VCR I Irm..^ 1 c 11vmv._... - - - 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 ADDL INSR SUBR MD POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS INSURER(S) AFFORDING COVERAGE LTR A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR INSURER B : GL00011080 1 0/01/11 10/01/12 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X MED EXP (Any one person) $ 5,000 CLAIMS -MADE PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X 'POLICY IFJ:T LOC 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 Y / N N / A WC STATU- 1 0TH - TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ required) RECEIVED OCT 002011 z, ,,,idrnation, DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is A � C° � R CERTIFICA OF LIABILITY INSURANCE DATE 09 /29 / rYYY) 09/29/11 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 -- -:- -_..:, 1 - 970- 879 -1363 Brow & & Insurance 970- 879 -0239 675 Snapdragon Way, Suite 200 Steamboat Springs, CO 80487 Todd A. Hayes CONTACT NAME: PHONE a No): E-MAIL ADDRESS: PRODUCER ENERG -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Energy Fuels Corporation Lindsay Yates PO Box 773457 Steamboat Springs, CO 80477 -3457 INSURER Midwest Insurance Co 18694 INSURER B : INSURER C : INSURER D INSURER E : INSURER F : • CERTIFICATE HOLDER ACORD 25 (2009/09) CANCELLATION I ii OP ID: T5 Colorado Division of Reclamati Mining and Safety 1313 Sherman Street 215 Centennial Buiding, Rm 215 !Denver, CO 80203 MIflIng GtIIU , 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 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD