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GENERAL32406
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GENERAL32406
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Entry Properties
Last modified
8/24/2016 7:54:59 PM
Creation date
11/23/2007 7:18:27 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
8/4/1998
Doc Name
CERTIFICATES OF INSURANCE
From
CYPRUS YAMPA VALLEY COALC ORP
To
MLRD
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br /> ~ ~ . ~ • ISSUE DATE (MM/DD/YV) <br /> ' : /Og; 38 <br /> _.._...._..___..__..______ <br /> PRODUCER <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br /> LF~r e d S James RY C O O f C D 1 O, I n G HO RIGHTS UPON THE CERTIFICATE MOLDER. TMIB CERTIFICATE DOES HOT AMEND. <br /> James Benefits Df CO1 Or InC EI(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> G. Box 24744 <br /> COMPANIES AFFORDING COVERAGE <br /> Denver, CO 80224-0749 <br /> COMPANY <br />A <br /> LETTER <br />Lexinatvn Insurance Go <br /> COMPANY <br /> <br />I B <br />LETTER <br /> NSURED Gld Republic Companies <br /> Cyprus Minerals (:vmp any and COMPANY <br /> 1t5 subsidiaries LETTER `' <br /> 7200 South Alton Way COMPANY <br />D <br /> Englewood CO 80155 LETTER <br />Int'1 Bus. & Merc. Reassurance <br /> COMPANY E <br /> LETTER Self-Insured <br /> <br /> " T1i19 9 TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW H <br />NOTWnIISTANDINO ANY REQUIREMENT, TERM OR CONDInON OF AN AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEAIOD INDICATEp, <br />Y CONTRACT OR OTHER DOCUMEM WRH IIESPECr TO WHICH THIS CERTIFlCATE MAY <br /> BE ISSUED Oq MAY PERTAIN, 7HE R16URANCE AFFORDED BY THE.P <br />, <br />= <br />-'~ Ol~C1E9 DESCRIBED HEP. N M 6UBJE MS, E%CLUBIONS, AND COND <br />' <br />' <br />" <br />~ <br />' <br />` <br />' <br />- <br />~ <br /> .r .., <br />... TONS OFSUCN POLICIES <br />.i, i,...~ <br />:CL+~r.ai.'-:~!h !- i <br />~t~~~ <br />~:c,<.; <br />.. <br />!~II% <br />C:~'F <br />• <br />uV?,';:~•-:. ^r <br />.'vT N•R=. $v <br />r n <br /> CO ..~,+,$•~.°'.~ .... r, • ~h;., ~ :. .,~r <br />NCE <br />"TYPE <br />F <br />' '~(d14CK' ""... (.Yr ~', A' rVf~Pjk~.. <br />' <br />' .RTLICY 6FECRVE 'POLICYF~IRATIOl~ ^+~.C°1 ..,.. ,~, ~, :.+: .wad <br />TSrIN THOU <br />AND <br />`A <br />L <br /> LTR INSURA <br />O <br />~ ~• • ~ POLICY NUMBER <br />. <br />: PATE (MN/DO/Yp DATE (MM/Op/YY) L <br />LIMI <br />S <br />S <br />' <br /> A GE NERAL LIABILITY 8641274 7/OI /88 7/O1 /89 GENEMLAGGREGATE $ IOOO <br /> X COMMERCIAL GENEIiAI LIABILITY PROOUCTS~COMPIOPS AGGREGATE $ 1000 <br /> X CLAIMS MADE ^OCCURRENCE PERSONAL 6 ADVERTISING INIURY $ 1 QOO <br /> X DWNER'S 8 CONTRACTORS PROTECTIVE EALN OCCURRENCE $ 1 OOO <br /> X Pred 1 tS/VPn[IOr FIRE DAMAGE (ANY ONE FIRE) ,~' IOOO <br /> <br /> MEDICAL E%PENSE (ANY ONE PERSON) ,~' N/A <br /> B AU TOMOBILE LIABILITY TD 13510 7/01/88 //U1 /89 ~' <br /> X ANY AUTO rsL $ 1 OO <br /> ALL OWNED AUTOS . <br /> SCHEDULED AUTOS eapnr <br />IxnlRr <br />IPEA PERSONI <br /> <br />• <br /> HIRED AUTOS RnILV ~.r',r <br /> NON-OWNED AUTOS a <br /> A <br />lOD1n <br />~~ i <br /> GARAGE LIABILITY ~ <br />" <br /> PROPERTY <br />DAMAGE <br />@ <br />V <br />,; <br /> ExCESS LIABILITY cwcx <br />OCCURRENCE AOONEMiE <br /> <br /> OTHEfl THAN UMBRELLA FORM <br /> D •: <br />WORKERS'COMPENSATION EX204 7/01/88 7/01/89 STATUTORtX <br /> D i <br />A EX2OS 7/01/.98 7/O1 /89 Ty lOOOEALN ALCIDEMI <br /> ND <br />IL <br />TY <br />' $ lOOODISEASE-POLICY LIMIT) <br /> F EMPLOYERS <br />I <br />LIAB Self-Insured 7/OS/88 ~/O1 /89 ,b' SOOODISEASE-EACH EMPLOYED <br /> OTHER <br /> The Workers Cvm ensation Dvlicy i. excess ver SIR 1.000,000 and <br /> excludes Employ rs Liability. <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> Permit#C-82-056 Mine: Twentymile Coal Company, Foidel Creek Mille <br /> • - <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Ex- <br /> t o t e o f Colorado PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> i ne Land Re c 1 ama t i on Dept. MAIL 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br /> 313 Sherman Street LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br /> Denver, CO 80203 LIABILITY OF ANY KIND UPON THE COMPANY, fTS AGENTS OR REPRESENTATIVES. <br /> ,~ <br />AUT ORIZED REPRESENTAT~IVE <br /> w w , w <br />/ <br /> - <br />/ <br /> ••, C+ <br />
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