DRC-2018-004403 - 0901a06880810449

,---- i ® ACC)RIO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
(34/30/2018
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 have ADDITIONAL INSURED provisions or 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 Marsh USA Risk & Insurance Services v o' A';-Iste Management
15 West South Temple, Suite 700 and Radiation Control
Salt Lake City, UT 84101
Attn: [e-mail] MX( ,.., 7 2018
J36105-0AK-GAWUL-17-19
CONTACT NAME: PHONE FAX (A/C. No. Extl: (A/C, No):
E•MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Everest National Insurance Co 10120
INSURED EnergySolutions, LLC 12W -zole-oolito
299 South Main Street, Suite 1700
Salt Lake City, UT 84111
INSURER e : National Fire & Marine Insurance Co 20079
INSURER C : Great American E&S Insurance Company 37532
INSURER D :
INSURER E :
INSURER F :
CERTIFICATE NUMBER: SEA-003486515-64 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANDING 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MPAIDD/YYYY) POLICY EXP (MM/DINYYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY 05/01/2018 05/01/2019 EACH OCCURRENCE $ 3,000,000
DAMAGE TO RENTED PREMISES (Ea occurrence) $ 3,000,000 CLAIMS-MADE X OCCUR
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 3,000,000
GENERAL AGGREGATE $ 5,000,000 GEN'L
X
AGGREGATE
pOLICY
OTHER:
LIMIT APPLIES
PRO- JECT
PER:
LOC PRODUCTS - COMP/OP AGG $ 5,000,000
$
A AU
X
x
OMOBILE LIABILITY
ANY AUTO
OWNED AUTOS ONLY HIRED AUTOS ONLY x
SCHEDULED AUTOS NON-OWNED AUTOS ONLY
05/01/2018 05/01/2019 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE (Per accident) $
$
B X UMBRELLA LIAB
EXCESS UAB
X OCCUR
CLAIMS-MADE
05/01/2018 06/01/2019 EACH OCCURRENCE $ 5,000,000
AGGREGATE $ 5,000,000
$ DED X RETENTION $ 10,000
A
A
WORKERS COMPENSATION AND EMPLOYERS' LIABILITY
ANYPROPR1ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
Y / N
N N / A

05/01/2018
05/01/2018
05/01/2019
05/01/2019
X .1?..TUTE t i FA OTH-ER
EL EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
E L. DISEASE - POLICY LIMIT $ 1,000,000
C POLLUTION LEGAL LIABILITY -
CLIVE

SIR: $1,000,000
10/01/2017 10/01/2018 Each Pollution Condition
Aggregate Limit
10,000,000
25,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Exit 49, US Highway 80, Clive, UT - Retroactive Date: 11/1/90
CANCELLATION
Director of the Utah Division of
Waste Management and Radiation Control
PO Box 144880
Salt Lake City, UT 84114-4880
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE of Marsh USA Risk & Insurance Services
Tiffani Berrett --MietociAdelar-or.,eapf7e-
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD