2010-10-21_GENERAL DOCUMENTS - C1981010

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""?-- ,A?C?l2© CERTIFICATE OF LIABILITY INSURANCE DATE (MMMD/YYYY) 10/14/2010 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 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 NAME' MARSH USA INC. O E SUITE 2100 1225 17TH STREET a/c No : PH N , DENVER, CO 8U2U2-5534 E-MAIL ADDRESS: Attn: Denver.CertRequest@marsh.com / FAX 212-9484381 P RODUCER S67982-00125-ALL-10-11 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Federal Insurance Company 20281 TRAPPER MINING, INC. V.4? ?s N/A INSURER B N/A PO BOX 187 CRAIG, CO 81626 INSURER C : OcT 2 k 2010 INSURER D ?J I , i;j 1 n INSURER E : ` , pjon Ot RE:t.: ?. I INSURER F COVERAGES . CERT M_6-ER: SEA-001717916-21 REVISION NUMBER: 4 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. INSR LTR TYPE OF INSURANCE SR INADDL SUBR WVD POLICY NUMBER MWDDNYEFF YY MM/ D/YYYY LIMITS A GENERAL LIABILITY 37100018 10/01/2010 10/01/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 1 000 000 $ CLAIMS-MADE P?] OCCUR MED EXP (Any one person) $1,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 F_] jECT 171 PRO LOC X POLICY $ AUT OMOBILE LIABILITY - COMBINED SINGLE LIiv11T--'- (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB H CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION ' WC STATU- OTH-CRY LIM TS LIABILITY AND EMPLOYERS ANY PROPRIETOR/PARTNER/EXECUTIVE YN E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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. INSURER WILL NOTIFY DIVISION WHENEVER SUBSTANTIVE CHANGES ARE MADE IN THE POLICY INCLUDING ANY TERMINATION OR FAILURE TO RENEW. CFRTIFICATF Hf]LDFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COLORADO DIVISION OF RECLAMATION THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AND SAFETY DEPARTMENT OF NATURAL RESOURCES ACCORDANCE WITH THE POLICY PROVISIONS. 1313 SHERMAN STREET - ROOM 215 DENVER, CO 80203 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Sharon A. Hammer Coq= Q ?? ACORD 25 (2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD