GENERAL38875

• Permit No: C1981010
• IBM Index Class Name: General Documents
• Doc Date: 8/15/2006
• Doc Name: Certificate of Insurance
• To: DRMS
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

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I ''"~ a CERTIFICATE NUMBER
ERTIFICATE OF INSURANCE ~~ ___.~
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PRODUCER
- ~ THIS CERTIFICATE I$ I$$UED A$ A NATTER OF INFORMATION ONLY AND CONFERS
MARSH USA INC. NO RIGHTS UPON THE CERTIFICATE NOIDER OTHER TNAM TNO$E PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. TNI$ CERTIFICATE DOES NOT AMEND, E%TEMD OR ALTER THE COVERAGE
DENVER,CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE ~ i
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67982-00125-ALL-.r A GREAT NORTHERN INSURANCE CO. ~_
IxsuRED TRAPPER MINING, INC.
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C VERAGES_ .~: ___ . ~ ~ ~ :- -:. .: , _ ~:
Q __~._ ~ Thls.Qertifisylpgfsedes and replaces any p2vwu~y Lssued berUfiGate fdr:ttte pMlcy penod noted below_~.,, .~,,._,:. a1S.~
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THIS IS TO CERTIFV
THAT POLICIES OF INSURANCE DESCRIBED HEREI N HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PER100 INDICATED.
NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDRION OF ANV CONTRACT Oft OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREI N IS SUBJECT TO ALL THE TERMS, CONDITIONS ANO EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMBS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
CO TypE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POIICV E%PIRATION LIMITS
LTR DATE IMM/DDIYY) DATE )MM/DDNV)
GEN ERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
/{ X COMMERCIAL GENERAL LIABILITY 37100016 07/2D/O6 07/20/07 PRODUCTS -COMP/OP AGG $ 2.000,000

~~ CLAIMS MADE OOCCUR PERSONALBADV INJURY S 1,000,000
OWNER'SBCONTRACTOR'S PROT EACH OCCURRENCE S 1,000,000
FIRE DAMAGE IAny ona Dra) $ 1,000.000

MED EXP one rwn $ - 10,000
AUT OMOBILE LU181LITY
S
• COMBINED SINGLE LIMfT
ANV AUTO

ALL OWNED AUTOS _ _
BODILY INJURY
(Per ~~D)
BCHEDULEO AUTOS
HIRED AUTOS BODILY INJURY
(Per acmdeM)
NON-OWNED AUTOS
~~ PROPERTY DAMAGE

GARAGE LIABILITY AUTO ONLY-EA ACCIDENT

ANY AUTO
OTHER THAN AUTO ONLY ::::az; .:__
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EACH ACCIDENT
AGGREGATE
E%CESS LABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBR_ELLAE98 _ - -
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY TORY LIMITS ER ~ "~
EL EACH ACCIDENT S
THE PROPRIETOR/ INCI EL DISEASE-POLICY LIMIT S
PARTNERS/E%ECUTNE
OFFICERS ARE
EXCI
EL DISEASE-EACH EMPLOYEE
S
MER
DESCRIPTION OF OPERATIONSR.OCATIONSNENICLES/$PECIAL ITEMS
RE: PERMIT #C-61-010
POLICY INCLUDES COVERAGE FOR PROPERTY DAMAGE AND PERSONAL INJURY RESULTING FROM THE USE OF EXPLOSIVES. INSURER WILL
NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN THE POLICY INCLUDING ANY TERMINIATION OF FAILURE TO RENEW.
CERTIFIQATE HOLDER ~ - CANCELLATION:: ~' a

SHOULD ANY OF THE PWCIEB DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATON DATE THEREOF.
THE INSURER AFFORDING LOVEFFGE WILL EiKYv%%1HF MAIL ~0 DATe NRITIEN NOTICE TO THE
COLORADO DEPT. OF NATURAL RESOURCES LERTIFIGTE HOLDER NPMED HEREIN,
DIVISION OF MINERALS & GEOLOGY
215 CENTENNIAL BLDG. ~ ~ E
1313 SHERMAN STREET

DENVER, CO 80203
MARSR USA INC.
Bv: Richard H. Eady ~„(,yF~Mly
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MMt(3l02) VALID AS OF;:08/09/O6
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