2012-03-15_GENERAL DOCUMENTS - C1981014

Home Browse Search

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 ADDL INSR SUBR WVD CONTACT POLICY NUMBER POLICY EFF (MMIDDJYYYY) POLICY EXP (MMJDD/YYYY) LIMITS NAIC ! A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR INSURER C • GL00011080 10/01/11 10/01/12 EACH OCCURRENCE $ 1,000,000 l FrI S ( RENT PREMISES (Ea o�rurre3ED ce) $ 100,000 CLAIMS -MADE MED ETP(Any oneoerso3) $ 5,000 PERSONAL 8 ADV IJJUR" $ 1,000,000 GEN'L TI GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER POLICY II J CT 11 LCC PRODLCT5- COMP/OP A=G $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDU_ED AUTOS HIRED AUTOS NoN -OWNED A! IT'S COMBINED SINGLE LIMIT (Ea 3.;c dent) $ BODILY IN WRY (Per parson) $ BODILY INJJRY (Per acc,cent) $ PROPEPT r' DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCT BLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOP/PRRTNERfEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPT ON OF OPERATIONS below N / A WC STATU- 0TH - TORY LIMITS ER E L EALH ACCIDENT $ E L DISEASE - EA EMPL = YEE $ EL DISEASE - POL ICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) Cancellation Provisions per attached IL0017 (11 -98) Colorado Division of Reclamati Mining and Safety 1313 Sherman Street 215 Centennial Buiding, 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 '`' R CERTIFICATE OF LIABILITY INSURANCE DATE DNYYY) 03 /02 03102112 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 CONTACT FAX (A/C, No, Ertl. (A/C, No) E-MAIL PRODUCER CUSTOMER IDs EN ERG -1 INSURER(S) AFFORDING COVERAGE NAIC ! INSURED Energy Fuels Corporation Lindsay Yates PO Box 773457 Steamboat Springs, CO 80477 -3457 INSURERA Great Midwest Insurance Co 18694 INSURER B • INSURER C • INSURER 0 • INSURER E • INSURER F : COVERAGES CERTIFICATE HOLDER ACORD 25 (2009/09) CERTIFICATE NUMBER: CANCELLATION REVISION NUMBER: OP ID: T5 © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD