Laserfiche WebLink
.a~oRD_ CERTIFICAT~oIr.J~ <br />tnoouDeR <br />HYOw:l ~ BroRiTt lr.auraac• <br />steamboat spgs .^^s 7^s,n3 DEC 0 8 2003 <br />2150 Resort Drive, i120G <br />Steamboat Springs CC 80477-5043 <br />Rhone: 97C-879-'~-363 °ax: 970-8~9-C23 ~!!."" I Ar <br />__ _._ .. __-_. .. .. IVISIDD <br />S[ea[woat~3priagsoCOt80477 <br />COVERAGES -- -~ - -_-_ <br />OCT <br />t_TS~I `"s_MUmolwl <br />.YER'!HE COVERAGE AFFORbEO BY THE POLICIES BELOW <br />INSGRERS AFFORDING COVER.GE <br />7ER A: American Safety IaeuranCe Serv <br />iER S. <br />t!n C ... _. .___.... __ ___. <br />tER 7: <br />THE XJLICIlS OF NSURAkCE LISTeO BELOW HAVE SEEN IsSUlD TO THE INSURED NAMED AlObi FOR Tab BODLY PERI00IN]GATED. NOtWITHSTA.V01N3 ' <br />ANY REOWREMENT. TERM CR CCNDiTN)N OF ANY CONTRACT DR OMER DOCUMENT WRN.RESPECT TO WNICN THIS CHPTIFICATE MAY SE ISFUEC ORS <br />Mqv PERTAIN. THE INSURANCE A:i0FDf0 Bl' THE POLICIES PESCRIBEOMEREIN ~S SUBJECT TD ALL THE TERMS. E%CLUSIONS APO CCNO,TICNS CF SV]N <br />P <br />OLICIES AGGREGATE L'.MI15 tihOWN ML's MYE [EGN RE7uCEL B, PUD C_u0.4. <br />[~$ <br />p <br />LTq- T17l OnINSUR:INCE PG:IJY NUMBER ~~ - 0 T NMA E DATi MWODM' UMITS ~ ~ ~- <br />0!NlnALLIAaIUTY i ~ I EACH OCCURRENCi I S Z• OOO, 000 <br />A X~LOMUennu GENESU Lwearv C-II,C1$699001 ~ 1C/01/03 IC/Ol/04-cIRE DAMn3E (Ary "ne e.P)!s50_OOD <br /> <br />i <br />_1 I CWMS MADE ~' X; xCUa ', ~ NED lJ~{A"Y OnA ceawp S S0, D00 <br />~~~- <br />~ + i iPER5DRAL8PDV INJURY f2,0D0,0D0 <br />I~~ _ _ - _ ~ - - I GSNERAL'PC.+REGATE ~ f 7, 000, ODO <br />GGMI AGGREGATE LIMR nPPLIESPER:! <br />~...- <br />~ <br />o- <br />~- ~. PRODUCTS-COMPAP AG' f2"00_0.000 <br />~ <br />PDUGY <br />jE <br />~ <br />I LOC ~~ <br />- - ~ ne . <br />000r7D0 <br />j AIROMO81Le LIABILITY I <br />i I GOLBNED SNGLE LIMR <br />~~yANY AUTO ~ (E Yecd[MU f - <br />A <br />L <br />I A0. OWNEDAUTOS I I I 1 I <br />sDOLY'WURY I <br />S <br />~i sCFiG]UIED AUTOS I <br />! , (Rer P,Ym") <br />~ NIREDANW <br />-~ BODILY N:VRY S <br />NDNdWNBD AUT05 I I _. <br />(PEr xa3Enq .. . <br />` <br />I .' <br />~.. .. _. __ 'I I .. <br />fM PGRTY :AnUGE <br />i3 I <br />~ <br />j GARAGE LMBLRY I ~ ~ AUTO ONLY-EA .tCC1DFNT <br />S <br />._ - <br />~.y ANV AUTO I pTNERTHAN EA AGC 3 <br />+ I I ~ AUTO ONLY AGG I f <br />', EXCESS LIABILITY , I EACH OCCURRENCE <br />f <br /> <br />+000UR (_OLAIMS NAOE ~ <br /> <br />_~ <br />~ OE000?IeLE I <br />I _ <br />_ _ <br />~ALIGFE<SgTE _ 3 ..~ <br />S <br />.- __ <br />s _--..... <br />', RETENT~[)N 3 <br />I JARReR9 COMPENSATION AND I T RY .MI <br />E <br />R <br />I <br /> <br />I EMPLOYERS' LIA81l1TY i - <br />- <br />-{ <br />~-~ <br />~ H.l. EALN ACCIDENT ,' f - <br />I 1 <br />i E.L Di4RASE-VA GMPLOYE° S <br />~...._ -.-{..--_----___. <br />~ j E.L. ]ii'oAiE-PCLICY'JMIT I i <br />I OfN,EP <br />{ I <br />I <br />f <br />' OFSCglPTION OF OPERATONSLOCA'IONSNEMCLBS2KCLl:SA:Nfi ACDED BY ENDOPS-NEI[TISPECULL PAOWaONE <br />R$: Retort Creak Miae - Permit MC-82-055 - Y~~- <br />Rerr Mine -- Paraat MC-80-066 <br />SoutY-f+.eld Mine - Permit NC-B1-C14 <br />Naw13n Creek Mine - 2armit MC-81-045 <br />I <br />CERTIFICATE HOLDER '};-,CCIr10kaLINSLRia INSUgERLE?TEiI: CANCEI.I.ATION <br />CVj.'!r~e~ 9NOIIU~ANY p'TNl ABOYE[EE'RilE0 P01.IUEt BECANCW.LiO BEFORE THE EIfP~MTtO <br />1L1TY INSURANCE., <br />ColorlLdb Lepartsnent Of OATlTKRCO3, TNC tSSNNG'NSUREA WIL'-~MNL ..~_GAYa Nk~I iEN <br />NB tLiraL RE~80UY000 NOTICC TO TNC ClRTC'CATE NOLCER NAMED TO iNE LEFTFMSl <br />Divie!on cE Minerals & GAOlogy <br />13L3 Sheralan >rtralr, Rm 215' +~~ <br />Denver CO 80203 ,_ <br />