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2010-10-04_GENERAL DOCUMENTS - C1980006
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2010-10-04_GENERAL DOCUMENTS - C1980006
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Last modified
8/24/2016 4:25:14 PM
Creation date
10/4/2010 1:32:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
10/4/2010
Doc Name
Certificate of Liability Insurance
From
Brown & Brown Insurance; Insured Energy Fuels Corporation
To
DRMS
Permit Index Doc Type
Insurance
Email Name
RDZ
Media Type
D
Archive
No
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OP ID: T5 <br />A`CO?Ri?" CERTIFICATE OF LIABILITY INSURANCE (MM/DOfYYYY) <br />[ATE <br /> 10/01 <br />/10 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWE It3F_IE4,1rftJ)INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate h <br />Ideis an ADITIONAL lY SIRED, the policy(ies) must be endorl,. If,,S <br />TION IS WAIVED, subject to <br />4? <br />policy, <br />the terms and conditions of the certain policies may require an endorsement. A statement i does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER 970-879-1363 -NAME: ACT d p <br />W <br />d <br />Brown & Brown Insurance 970-879-0239 ing AtM <br />-W"%1tV <br />a <br />v <br /> o Ext: <br />(A/C. No: <br />c°Nr <br />675 Snapdragon Way, Suite 200 E-MAIL <br />St <br />b <br />t S <br />i <br />CO 80487 PRODUCE <br />eam <br />oa <br />pr <br />ngs, R <br />Todd A <br />Hayes CUSTOMERID#:ENERG-1 <br />. <br /> INSURER S) AFFORDING COVERAGE NAIC # <br />INSURED Energy Fuels Corporation INSURERA:Arch Insurance Company 11150 <br />Lindsay Yates INSURER B: <br />PO Box 773457 <br /> INSURER C : <br />Steamboat Springs, CO 80477-3457 <br /> INSURER D <br /> -INSURER E : <br /> INSURER F : <br />COVERAGES CFRTIFICOTF KII IMRFR• RG\/ICInKI w IMlaco- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR TYPE OF INSURANCE ADDL <br />INSR SUB <br />POLICY NUMBER POLICY EFF <br />MM/DD/YYYY POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY CSPKGO024303 10/01/10 10/01/11 DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ 100,00 <br /> CLAIMS-MADE ? OCCUR MED EXP (Any one person) $ 5,00 <br /> PERSONAL & ADV INJURY $ 1,000,00 <br /> <br /> GENERAL AGGREGATE $ 2,000,00 <br /> N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 <br /> POLICY PRO- LOC <br />n $ <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ <br /> <br />ANY AUTO (Ea accident) <br /> <br />ALL OWNED AUTOS BODILY INJURY (Per person) $ <br /> <br />SCHEDULED AUTOS BODILY INJURY (Per accident) $ <br /> PROPERTY DAMAGE <br />$ <br /> HIRED AUTOS (Per accident) <br /> NON-OWNEDAUTOS $ <br /> <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE $ <br /> EXCESS LIAB H CLAIMS-MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> <br /> RETENTION - $ - - - - - - - - - - - $ _ <br /> WORKERS COMPENSATION WC STATU- OH- <br /> AND EMPLOYERS' LIABILITY TORY LIMIT' ER <br /> Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCL <br />D <br />N/A E.L. EACH ACCIDENT $ <br /> U <br />ED? <br />(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br /> <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Reference: Kerr Mine: Permit #C-80-006 <br />and Southfield Mine - Permit #C-81-014. <br />IlrjLAur- n <br />CNATURA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Colorado Division of Reclamati ACCORDANCE WITH THE POLICY PROVISIONS. <br />Mining and Safety AUTHORIZED SE ATIVE <br />Division of Minerals & Geology Todd A able <br />1313 Sherman Street, Rm 215 <br />(Denver. CO 80203 <br />ACORD CORPORATION. All rinhts rpcprvprl <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
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