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PERMFILE50430
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PERMFILE50430
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Entry Properties
Last modified
8/24/2016 10:54:59 PM
Creation date
11/20/2007 2:28:20 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
EXHIBIT 13 CERTIFICATE OF INSURANCE
Media Type
D
Archive
No
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L <br />~~~1``L~µi~ <br />Y~CLLA.L~L Lt.~L~G <br /> <br />~ <br />~ <br />: Division of Minerals 8 Geology o.t.: August 29, 1996 <br />Addra..: Department of Natual Res. R„ Attachment <br />- 1313 Sherman St. Rm. 216 Fax to: <br />~ ' Denver, CO 80203 Elizabeth at Twentymile ~~)~rTCI\; 1~-'' <br />~ 970-870-2753 if <br />P Q j <br /> <br />/ _ <br />1.996 <br />Thls is to candy that the policies designated below are in force on the dale borne by this Cer!ificate. <br />~ <br />- Cyprus Amax Minerals Com pany et al L "~•- ' ~ ~ ~ ~ - <br />' NAME OF INSURED: 91GD EeSt Mineral ClfCle <br />Englewood, CO 80112 <br /> <br />TYp[OrINIOpAxO! pOlJCY1 pOLICT YFp100 pOl]CY p41,]/vALY[[ <br />A) Commercial General RMGL1437606 07/01/96 - $ 6,000,000 General Aggregate <br />Liability -Claims Made 07/01/97 $ 6,000,000 Products/Completed <br />t <br />A <br />t <br />O <br />Retro Date 4/1/94 <br />' pera <br />ions <br />ggrega <br />e <br /> $ 1,000,000 Personal and Advertising <br /> Injury <br /> $ 7,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br />) One Person) <br />B) Auto Liability RMCA1438600 07/01/96 - $ 2,000,000 CSL Each Occurrence <br /> 07101197 <br />C) Workers' Compensation OC-01611904 <br />E <br />l <br />' Li <br />bi <br />i 09101/96 - WC: Statutory <br />9 <br />1/97 EL <br />1 <br />00 <br />E <br />A <br />id <br />t <br />0 <br />mp <br />oyers <br />a <br />l <br />ty /0 <br />: $ <br />, <br />ach <br />cc <br />en <br />0 <br />00, <br />0 <br />Other States $1,000,000 Disease • Policy Limil <br />' $1,000,000 Disease -Each <br /> Employee <br />D) Workers'Compensation OC-01690603 09101/96- WC: Statutory <br />Employers' Liability 09/01/97 EL: $1,000,000 Each Accident <br />Alaska $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br />• Employee <br />E) Excess Workers' EX361 09/01/96 - Statutory Excess of a Selt Insured <br />Compensation 09/01/97 Retention: $1,000,000 any one <br /> occurrence <br />R7(CNk7(11f~fx066JW(i(OExiix3fdF76XdHG%xDIIN(11>C~IJ47f1~)h~lf%X~IJ41(I)fx1Q63f~EiEYJ61UfixYrxxxdfY~)flTdfdf•'.E(xl(~1:4t)61ION,•X:.d'," . .I <br />rcoxAx~caaaoxaxxaxaaaxotJCaxolsxaxnxf~xxxxxx <br />~'YYYTYYYYYYYYYYYTYYYYYYYYYYYYYYYYYYYYYYYYYTYYYYYYYYYYYYYYTYYYYYYYYYYY: YYYTYTYYYYYYTYYYYYYT <br />SEVERAL LIABILITY NOTICE (LSW 1001) <br />The subscribing Insurers'obllgations untler contracts of Insurance to <br />which Ihey suDSCrlbe are several and not joint entl ere limitetl solely Io <br />the BxIBnI of their Indlwtlual suDSCripllon,9. ThD subscribing Insurers are <br />not responsible for the subscription of any co~subscriDing insurer who <br />• for any reason does not salisy all or part of its obligations. <br />INSURANCE COMPANY(IES) ISSUING COVERAGE: <br />A)B) National Union Fire Insurance Company of Pittsburgh, PA <br />C)D)E) Oltl Republic Insurance Co <br />t.e.,[.cLaxn <br />ANfl-03]L Ip~' INfI <br />~~, Aon RiJk Serl.~iret <br />Narura! kaaurra <br />Group <br />Aon Ruk $ervrra a/TrzcL Inr. <br />2000 Brnng Dnve. $wce 900 • Homron, Tau] 77057-3790 <br />rrl: (713) 430-G000 • (600) 23 L3252 • far O13) 43015590 <br />By S +d ~~,~..../ <br />
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