GENERAL32767

• Permit No: C1982056
• IBM Index Class Name: General Documents
• Doc Date: 9/8/1997
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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RECEIVE)
TD: Division of Minerals 8 Geology Dat•:5eptember 2, 1997 SEP Q 8 ]gg)
address: Department of Natual Res. Re: Attachment
1313 Sherman St. Rm. 216 Fax to:
Denver, CO 80203 Elizabeth at Twentymile Division of AAinerals E i:eclon~
970-870-2753
This is to certify that the policies designated below are in force on the date borne by this Certificate.
NAME OF INSURED: CyprUS AmaX Minerals COmpany et al
9100 East Mineral Circle
AdaresB: Englewood, CO 80112
TYPE OF INSURANCE POLICY • POLICY PERIOD
A) Commercial General RMGL1135325 07/01/97 - $ 6,000,000 General Aggregate
Llablllty -Claims Made
R
D 07/01/98 $ 6,000,000 Products/Completed
A
t
O
i
etro
ate: gggrega
e
perat
ons
Other States 4/1/94 $ 1,000,000 Personal and Advertlstng
Wyoming 4/1/86 Injury
$ 1,000,000 Each Occurrence
$ 1,000,000 Fire Damage (Any One
Fire)
$ 10,000 Medical Expense (Any
One Person)
B) Auto Liability RMCA3207268 07/01/97 - $ 2,000,000 CSL Each Occurrence
07/01 /98
C) Workers' Compensation OC-01611905 09/01/97 - WC: Statutory
Employers' Liability 09/01/98 EL: $1,000,000 Each Accident
$1,000,000 Disease -Policy Limit
$1,000,000 Disease -Each
Employee
D) Excess Workers' EX357 09/01/97 - Statutory Excess of a Self Insured
Compensation 09/01/98 Retention: $1,000,000 any one
occurrence
This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies)
numbered above and issued by companies listed below. ,
Should any of the above described policies be cancelled before the IIBifPiration date thereof, the Issuing company will endeavor to mail
60 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or
liability of any kind upon the company, or upon this agency.
SEVERAL LIABILITY NOTICE (LSW 1001)
The subscribing insurers' obligations under contracts of insurance to
which they subscribe are several and not joint and are limited solely to
the extent of their individual subscriptions. The subscribing insurers are
not responsible for the subscription of any co-subscribing insurer who
for any reason does not satisty all or part of its obligations.
INSURANCE COMPANY(IES) ISSUING COVERAGE:
A)B) National Union Fire Insurance Company of Pittsburgh, PA
C)D) Old Republic InsuranceCo.
~~ Aan R;tk Servitor
Natural Retourru
Group
Aon Ri/k Servinr of Terar, Int.
2000 Bering Drive, Suite 900 • Houston, Texu 77057-3790
tel: [phone] • fax: [phone]

POLIDY LIMITe / VALUES
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