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GENERAL30919
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Last modified
8/24/2016 7:48:20 PM
Creation date
11/23/2007 6:49:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
8/1/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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- i i i i i iii i i i i --i i -i i <br />~PrfI~ILRf.E II~ ~nSUxRnr~ <br />A ~F~'E/~£Gi <br />To: State of Colorado D.t•: July 29, 1994 ~j 99 <br />Address: Mi;g h man S ~~~ tion Division Re~ See Attachment ~/~/S'on~,/I~/,/cry/y , ¢ <br />Denver, CO 80203 ~ Gece9y <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: Cyprus Amax Mine,CalS Company et a) <br />910u East Niineral Circle <br />Aadre•e: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY a POUCY PERIOD POLIO'r UYRSNAWES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />Claims Made, Retro Date: 4/1/94 04/01/95 $6,000,G00 Product/Completed Operations <br />a) All States GL3197175 Aggregate <br />b) Texas !~L3197127 $2,000,000 Personal and Advertising Injury <br /> $2.000,000 Each Occurrence <br /> $J.,W0.000 Fire Damage (Auy One Fire) <br /> $ 10,000 Medical Expense (Any One <br /> Person) <br />B) Auto Liability 04/Cl/94 - $2.0(X),(100 CSL Each Occurrence <br />a) All States CA1431816 04/UI/95 <br />h) Texas t:A1431819 <br />C) Workets' Compensation 0000404604 04/01!94 - WC: Statutory <br />Employers' Liabillty 09/01/94 EL: $2,OW,000 Each Accident <br /> $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />D) Excess Workers' Compensation EX-316 04/01/94 - Company's Limit of Indemnity Each <br /> 09/01/94 Occurrence: Statutory <br /> Selflnsured Retention: $1,000.000 <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies) <br />which numbered above and which issued by companies listed below. <br />Shoul any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail <br />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 />INSURANCE COMPANY(IES) ISSUING COVERAGE: <br />A) & B) National Union Fire [ns. Co. <br />C) & D) Old Republic Insurance Company <br />2000 Bering Dr., Suite 900 <br />Houston, Texas 77057 <br />P.O. Box 36429 <br />Houston, Texas 77236fi429 <br />Phonc: 713/783-6640 <br />Int'1 Telex 166 2S3 or 166 284 <br />Telexovier 713!783-7241 <br />gy a v • I <br />Authorized ReOresentative <br />I~Ba.C l2 <br />E11-023 (Rev. 3/89) <br />
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