2012-03-19_GENERAL DOCUMENTS - C1981014

Home Browse Search

OP ID: T5 A CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 03102/12 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 ACT NAME Brown & Brown Insurance 970 - 879 -0239 675 Snapdragon Way Suite 200 Steamboat Springs, CO 80487 Todd A. Hayes FAX PHONE AIC, N o , Ext: (AlC,No): E -MAIL ADDRESS PRODUCER CUSTOMER ID #: EN ERG-1 INSURERS) AFFORDING COVERAGE NAIC # INSURED Energy Fuels Corporation INSURERA: Great Midwest Insurance Co 18694 INSURER B: Lindsay Yates PO Box 773457 Steamboat Springs, CO 80477 -3457 INSURER C DAMAGETO RENTED PREMISES Ea occurrence INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 SU8 WVD POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP MMIDDNYYY LIMITS 215 Centennial Buiding, Rm 215 GENERAL LIABILITY Denver CO 80203 EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL00011080 10/01/11 10101112 DAMAGETO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE � OCCUR MED EXP(Ary one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER , PRODUCTS - COMP /OPAGG $ 2,000,000 X POLICY PRO LOG JECT $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWN EDAUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTO S PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS $ UMBRELLA LIAB H CLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNEPIEXECUTIVE OFFICERfMEMBEREXCLUDED? ❑ NIA E . DISEASE - EA EMPLOYEE $ (Mandatory in Ni If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Cancellation Provisions per attached IL0017 (11 -98) CERTIFICATE HOLDER CANCELLATION ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Colorado Division of Reclamati Mining and Safety AUTHORIZED REPRESENTATIVE 1313 Sherman Street 215 Centennial Buiding, Rm 215 Denver CO 80203 ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD