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III IIIIIIIIIIIII111 <br />~L~~~tlt~~Y~~ .~~~z~sixr~xt~~ JUL 03 1995 <br />~: Division of Minerals & Geology Date, June 30, 1995 t7ivision o1 rvtlnerals ~ Geology <br />Address: Department of Natural Resources Re: See Attachment <br />1313 Sherman St., Room 216 <br />Denver, CO 80203 <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: cyprtlS AmaX Mlnerals Company CL al lIlClUding $lll)Sldlary COmpa711eS <br />9100 East Mineral Circle <br />Address: Englewood, CO 80112 <br />TYPE OF INSURANCE <br />POLICY ~ POLICY PERIOD <br />POLICY LIMITS /VALUES <br />A) Commercial General Liability - 07/01/95 - S 6,000,000 General Aggregate <br />inc]uding ProducWendor and XC 07/01/96 S 6,000,000 Product/Completed Operations <br />Coverage, Claims Made, Retto GLI212703 Aggregate <br />Date: 7/1/86 GL1212702 $ 1,000,000 Personal and Advertising Injury <br />a) All States 5 1,000,000 Each Occurrence <br />b) Texas 5 1,000,000 Fire Damage (Any One Fire) <br /> S 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 CAI351196 <br />C) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: 52,000,000 Each Accidcnt <br />California Only C016120-02 52,000,000 Disease -Policy Limit <br /> 52,000,000 Disease -Each Employee <br />D) Workers' Compensation 09101/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />Other States C016119-02 52,000,000 Disease -Policy L'unit <br /> 52,000,000 Disease -Each Employee <br />E) Excess Workers' Compensation EX-335 09/01/94 - Company's Limit of Indemnity Each <br /> 09/01/95 Occurrence: Statutory <br /> Self Insured Retention: 51,000,000 <br />T11187F7FHFill~76UtICHdBriP[BCH~X~51tsXffi3LW7PXQ(IXdtRiP],j t0>17tl61f012SRdtmF(2LS~CII}6~7~15R0~7(X <br />n 7PAII9PR017BhA1D21F70dXJ~ACAt:GXZItIIAAaD(~SC~l9t9fkh[9tA4KXXX8XXXXXXXXBXXX X:TJUCXXXXXXXBX <br />IIaD111ty or any Iona upon the company, or upon tnls agency <br />SEVERAL LIABILITY NOTICE (LSW 1001) <br />The subscribing insurers' obligations under contracts of insurance to which they sub- <br />scribe are several and not joint and are limited solely to the extent of their individual <br />subscriptions. The subscribing insurers are not responsible for the subscription of any <br />co-subscribing insurer who for any reason does not satisty 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) Old Republic Insurance Company BY <br />148-BA.CLG <br />Aox Na7vx.tL R esouxcss Wonr,DwrDs <br />2000 Hering Dr., Suile 900 <br />-` Houston, Tezas 77057 <br />~ ~-- P.O. Hoz 36429 <br />_ = Houston, Tezas 77236-6429 <br />-- Phone: 713!78?-6640 <br />A Telecopier: 713/!87-7241 <br />V Q ~~ ~~~ <br />ANP: 023IRev. N95) <br />