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<br />ISSUE DATE MM/DD/V Y) ~
<br />~ (
<br />'FE.OF~.~lSURA ~~~~~~~~~~~~~~~ °'' ,,.-. ...
<br />a~.~~i.u. Nt~ I
<br />s,. >.~..«...,..~..,,...~^~ ,` ~rav~~ ..-_- 999 07/02/91
<br />PRODUCER THIS CERTIFICAT IS ISSUED AS A MATTE OF INFORMATION ONLY AND
<br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
<br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
<br />SEDGWICF: JRMES OF TN, INC. POLICIES BELOW.
<br />P. 0. b0 19810
<br /> COMPANIES AFFORDING COVERAGE
<br />N.NOXVILLE,TN 37939
<br />(615)584-9101 COMPANY R: OLD REPUBLIC INSURRNCE CO.
<br /> LETTER A
<br /> COMPANY B b: ~~ ~-
<br />INSURED LETTER
<br />CYPRUS MINERALS CO. COMPANY C: RECEIVED
<br /> LETTER C
<br />AND ITS
<br />SUBSIDIARY CO.
<br />y
<br />P. O. BO^ 3299 COMPANY D:
<br />D
<br />ENGLEWOOTa, CO 80155 LETTER
<br />JUL 0 8 1991
<br /> COMPANY E E :
<br /> LETTER Mine
<br />
<br />."'il .,. ~._a. f : '~ "~~:~ f.ari .~ ~ M1',
<br />:1 . L'JW , •, I I m,~ _ - N 91.
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIS TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI Y RIOD
<br />INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE NSAV BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS.
<br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS
<br />LTR DATE (MMIDDIYVI DATE (MMIDDIYY)
<br />I
<br />GENERAL LIABILITY GENERAL AGGREGATE S QI
<br />COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S 0
<br />' CLAIMS MADE OCCUR PERSONAL 8 ADV. INJURY S
<br />Q
<br />l
<br />OWNER'S 8 CONTRACTOR'S PROT. t
<br />a
<br />/ / / / EACH OCCURRENCE S
<br /> FIRE DAMAGE (Any pne Ilre) S QI
<br /> MED. EXPENSE IMy one person) f (~
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE f
<br />ANY AUTO LIMIT 0
<br />
<br />ALL OWNED AUTOS BODILY INJURY
<br />S
<br />SCHEDULED AUTOS ~ / / / (Per perspnl
<br />HIRED AUTOS ///~~~ ~ Ct ~ BODILY INJURY f
<br />NON~OWNED AUTOS ~ ~ ~
<br />GARAGE LIABILITY (Per accitlanp 0
<br /> PROPERTY DAMAGE S
<br />0
<br />EXCESS LIABILITY EACH OCCURRENCE 3 QI
<br />UMBRELLA FORM / / / / AGGREGATE f (~J
<br />OTHER THAN UMBRELLA FORM
<br /> STATUTORY LIMITS
<br />WOANER'S COMPENSATION EACH ACCIDENT S 1 , IZI QII~I, IzIOQ
<br />A '~ IAND 0000404604 07/01 /91 'IZ17/1~1 /92 DISEASE-POLICY LIMIT ~ S 1, OIj10, Q100
<br />EMPLOYERS' LIABILITY DISEASE-EACH EMPLOYEE S 1 , LVJOIZI, QI QIQI
<br />OTHER
<br />A EXCESS W. C. (1) EX266 07/01/90 07/01/92 STATUTORY
<br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
<br />(1) EXCESS W.C. APPLIES TO THE FOLLOWING:CO,N,V,PR,UTfRL,RZ,GR,ID,MT,MO,NM
<br />VT, NV,WV'TWENTYMILE CORL CO., F OIDEL CREED MINE PERMIT MC-B2-056, COLORADO
<br />VRMPR COAL CO. MINE #3 PERMIT #C-B4-062 MINES 1&2 & ECKMAN PARK. #C-81-071
<br />q
<br /> ~~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
<br />STATE OF COL
<br />ORADO "a
<br />. MAIL
<br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
<br />MINE LRND RECLAMATION DEPT.
<br /> LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
<br />1313 SHERMRN STREET, SUITE 215 LIABILITY OF ANV 1(IND.UPON THE COMPANY, ITS AGENTS OR P SENTATIVES.
<br />DENVER, CO 80c03 5`'
<br /> AUTHOR12E0 REP ENT ?IV ^
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