2019-01-08_GENERAL DOCUMENTS - C1981010

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DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 01/03/2019 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 have ADDITIONAL INSURED provisions or 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 CONTACT MARSH USA INC NAME: PHONE FAX 122517TH STREET,SUITE 1300 c 'C'No): DENVER,CO 80202-5534 E-MAIL Atte Denver.CertRequest&arsh com/FAX 212-948-4381 O ADDRESS: INSURERS AFFORDING COVERAGE NAIC# CN103135850-00125-ALL-19-20 �rINSURER A:Federal Insurance Company 20281 INSURED INSURER B:N/A N/A TRAPPERMPO BOX 18 INING INC. r)ci19 t-\1 INSURER C:ACE Property And Casualty Ins Co 20699 CRAIG,CO 81626 ,SNA ,n�yi `�`� INSURER D N�REc.G.p� _ INSURER E nW,.510 p"' INSURER F: COVERAGES CERTIFI UMBER: SEA-003351588-44 REVISION NUMBER: 7 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 /NSR ADDLTYPE OF INSURANCE is=SUBR POLICY NUMBER MM DDPOL'C/YYYY (MMDEFF PoL'C EXIP LTR Y LIMITS A X COMMERCIAL GENERAL LIABILITY 35907412 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 1,000,000 X MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 JECT POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 X OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAB X OCCUR XOO G27908755 004 01101/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$25 000 $ WORKERS COMPENSATION 1 10 AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUI VE EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NI NIA (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE PERMIT#C-81-010 POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES CERTIFICATE HOLDER CANCELLATION COLORADO DIVISION OF RECLAMATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE AND SAFETY DEPARTMENT OF NATURAL RESOURCES THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1313 SHERMAN STREET-ROOM 215 ACCORDANCE WITH THE POLICY PROVISIONS. DENVER,CO 80203 AUTHORIZED REPRESENTATIVE of Marsh USA Inc Jon Lindstrom - > ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD