2012-09-20_GENERAL DOCUMENTS - C1981025

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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 OF INSURANCE ADDLSUBR ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DDIYYYY) POLICY EXP (IWWDD/YYYY) LIMITS A GENERAL X LIABIUTY COMMERCIAL GENERAL LIABILITY X INSURERB: 3X6490413 09/01/2012 09/01/2013 EACH OCCURRENCE RO C�F RENTED I aoccunence) $1,000,000 $100,000 ■■ ■ PERSONAL CLAIMS -MADE I XI OCCUR MED EXP (Any one person) $5,000 & ADV INJURY $1,000,000 ■ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ■ PRO- I1 LOC PRODUCTS - COMP /OP AGG $2,000,000 $ AUTOMOBILE ■ ■ ALL ■ LIABILITY ANY AUTO OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea acadent) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ■ UMBRELLA LIAB EXCESS LIAB ■ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N / A WC STATU I I OTH TORY I WITS FR E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addlional Remarks Schedule, it more space is required) Re: North Thompson Creek Mines, DRMS Permit C- 1981 -025. State of Colorado, Division of Reclamation Mining & Safety is included as an Additional Insured. 30 days notice of cancellation is provided. ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE 0DD"Y"„) 9/17/2012 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 686 245 -8011 NAMEACT Anita Keller PHONE 970 -254 -3306 FAX 866- 908 -6374 (A/C, No, Ext): (A/C, No): E-MAIL DSS: anita.keller @hubinternational.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Employers Mutual Casualty Compa 21415 INSURED S & B Holdings LLC Minrec Inc 627 24112 Rd Unit H Grand Junction, CO 81505 INSURERB: INSURER C : INSURER D: INSURER E INSURER F • CA Resident License #0757776 COVERAGES CERTIFICATE HOLDER ACORD 25 (2010105) 1 of 1 #S1827340/M1827328 Client#: 123725 CERTIFICATE NUMBER: CANCELLATION SBHOLDINI REVISION NUMBER: 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 © 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DCO2