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GENERAL30326
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Entry Properties
Last modified
8/24/2016 7:47:54 PM
Creation date
11/22/2007 10:11:52 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/3/1995
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iiiiiiiiiiiiiiiiiii <br />999 <br />C~~~~t~tx~~>e ~~ c1r~s1~>~~x~x~ <br />To: State of Colorado Date: June 30, 1995 <br />Adores:: Mined Land Reclamation Division fle; See Attachment RECEIVED <br />1318 Sherman Street <br />Denver, eo so2o3 JUL 0 3 1995 <br />This is to certify that the policies designated below are in force on the date borne by tfRsly~~~{ifl~a~e10eraIS 8 Geology <br />rtAlne of INSUaeo: Cyprus Amax Minerals Company et al <br />9100 East Mineral Circle <br />Address: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY Y POLICY PERIOD POLICY LIMITS /VALUES <br />A) Commercial General Liability - 07/01/95 - $ 6,000,000 General Aggregate <br />Claims Made, Retro Date: 4/I/94 07/01/96 $ 6,000,000 Product/Completed Operations <br />a) All States GL1212703 Aggregate <br />b) Texas GL1212702 $ 1,000,000 Personal and Advertising Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One Fire) <br /> $ 10,000 Medical Expense (Any One <br /> Person) <br />B) Auto Liability 07/01/95 - $2,000,000 CSL Each Occurrence <br />a) All States CA1351198 07/01/96 <br />b) Texas CA1351196 <br />C) Workers' Compensation 09/OI/94 - WC: Statutory <br />Employers' Liability 09/OI/95 EL: $2,000,000 Each Accident <br />Other States C016119-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies) <br />numbered above and issued by companies listed below. <br />Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail <br />30 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or <br />liability of any kind upon the company, or upon this agency. <br />SEVERAL LIABILITY NOTICE (LSW 1001) <br />AON NATURAL RESOURCES WORLDWIDE <br />The subscribing insurers' obligations under contracts of insurance to which they sub- zooo Berine or., suite 900 <br />scribe are several and not joint and are limited solely to the extent of their individual - - Fiou:Ion. Texas 77057 <br />subscriptions. The subscribing insurers are not responsible for the subscription of any - p.o. Box 76s?9 <br />co-subscribing insurer who for any reason does not satisfy all or part of its obligations. - __ Honslon. Texas 77?36-6129 <br />Phone: 713/7836610 <br />INSURANCE COMPANY(IES) ISSUING COVERAGE: - Telecopier: 7Ul783-72x1 <br />A)B) National Union Fire Insurance Company Pittsburgh PA <br />C) Old Republic insurance Company <br />B1, 1 <br />148-BB.CLG <br />ANfl~023 (Rev fi/9fi) <br />
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