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GENERAL42675
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GENERAL42675
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Entry Properties
Last modified
8/24/2016 8:11:27 PM
Creation date
11/23/2007 11:55:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
General Documents
Doc Date
10/22/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD CERTIFICATE OF LIABILITY INSURANCE CSR T5 DATE (MM/DD/WYV) <br />ENERG-1 10 18 07 <br />PROOUCeR THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION <br />Brown fi Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Steamboat Spgs POB 775043 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />2130 Resort Drive ALTER TFE COVERAGE AFFORDED BY THE POLIgES BELOW. <br />Steamboat Springs CO 80477-5043 <br />Phone: 970-879-1363 Fax: 970-879-0239 INSURERS AFFORDNG COVERAGE NAIC# <br />INSURED INSURER A: ASCh Insurance Company 1115D <br /> _ <br />INSURER B: <br />Energy Fuels Corporation <br />Lindsay Yates wsuRER C: <br />PO BOR 773457 INSURER D: <br />Steamboat S <br />s CO 80477-3457 <br />rin <br />p <br />g <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT Willi RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUEU OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT?CALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />LTR N$R TYPE OF INSURANCE POLICY NUMBER DATE MM/DOf/Y DATE MMIDDM' N LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ S r OOO r OOO <br />A }[ COMMERCIAL GENERAL LIABILITY CSPRG00243 10/01/07 10/01/08 pREMISES(~acurenca) 8100,000 <br /> CLAIMS MADE X^ OCCUR MED EXP (Any one parson) $ 5 , DD D <br /> PERSONAL 8 ADV INJURY $ S r OOO r OOO <br /> GENERAL AGGREGATE $ 2 r OOO r OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2r000rOOO <br /> $ POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANV AUTO <br /> <br />1 <br />(Ea amidenp $ <br /> ALL OWNED AUTOS n <br />0~~ [a <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> ~ <br /> ~(i <br />~ <br />dg BODILY INJURY $ <br /> NON-OWNED AUTOS M~1fl9 (Per accitlent) <br /> PROPERTY DAMAGE <br /> <br />(Per accltlent) $ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: qGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br />- WORKERS COMPENSATK)N'AND-- - - - -- -- - - -- ~ - -TORY-LIMITS - ER <br /> EMPLOYERS' LIABILITY <br /> ANV PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ <br /> It yes, describe untler <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHF_R <br />DESCRIPTION OF OPERANONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS <br />Reference: Raton Creek Mine: Permit #C-82-055; Kerr Mine: Permit #C-80-006 <br />and Southfield Mine - Permit #C-81-014. <br />Southfield Mine - Permit #C-81-014 <br />CERTIFICATE HOLDER CANCELLATION <br />CNA,r~RA SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O * DAYS WRITTEN <br />Colorado Department Of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL <br />Natural Resources <br /> <br />Division of Minerals fi Geology IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />Rm 215 <br />1313 Sherman Street REPRESENTATIVES. <br />, <br />Denver CO BO2O3 UT DREPRESENTATIVE <br />~- <br /> -- <br />~ <br />ACORD 25 (2001108) ©ACORD CORPORAT{ON 1988 <br />
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