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~ii~ti~ititi-iiniii~i <br />(.~ r r 4ECEIVED <br />U.P1C'~t:ltP~Y~P IIi ~1'CBLYPtXk~PP JUL D7 1997 <br />Division of Minerals d Geolo( <br />~~ Division of Minerals & Geology Dets: June 28, 1997 <br />Adarsse: Department of Natual Res. ' Re: Attachment <br />1313 Sherman St. Rm. 216 Fax to: <br />Denver, CO 80203 Elizabeth at Twentymile <br />970-870-2753 <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: (;ypfUS AmaX MlneralS Company et al <br />910C East Mineral Circe <br />Address: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY Y POLICY PEPI00 POLICY LIMITS (VALUES <br /> <br />A) Commercial General <br />L <br />b <br />l <br />Cl <br />i <br />t <br />M <br />d RMGL1135325 I 07/01/97 - <br />0 <br />0 $ 6,000,000 General Aggregate <br />la <br />l <br />l <br />y - <br />a <br />ms <br />a <br />e 7/ <br />1/98 $ 6,000,000 Products/Completed <br />Retro Date: Operations Agggregate <br />Other States 4/1/94 $ 1,000,000 Personal and Advertising <br />Wyoming 4/1/86 Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br /> One Person) <br />B) Auto Liability RMCA3207268 07/01/97 - $ 2,000,000 CSL Each Occurrence <br /> 07101198 <br />C) Workers' Compensation <br />E <br />l <br />' Li <br />bilit OC-01611904 09/01/96 - <br />09/ <br />1/ <br />7 WC: Statutory <br />E <br />0 <br />0 <br />d <br />mp <br />oyers <br />a <br />y 0 <br />9 L: $1, <br />00,00 <br />Each Acci <br />ent <br />Other States $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />D) Workers' Compensation OC-01690603 09/01/96 - WC: Statutory <br />Employers' Liability Alaska 09/01!97 EL: $1,000,000 Each Accident <br /> $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />E) Excess Workers' EX351 09/01/96 - Statutory Excess of a Self Insured <br />Compensation 09/01/97 Retention: $1,000,000 any one <br /> occurrence <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies) <br />numbered above and Issued by companies listed below. <br />Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail <br />60 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 />SEVERAL LIABILITY NOTICE (LSW 1001) <br />The subscribing insurers' obligations under contracts of insurance to <br />which they subscribe are several and not joint and are limited solely to <br />the extent of their individual subscriptions. The subscribing insurers are <br />not responsible for the subscription of any co-subscribing insurer who <br />for any reason does not satisfy all or pan 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 RepubliclnsuranceCo. <br />~~ Aon Risk Services <br />Natural Resources <br />Group <br />Aon Ri1k Serviret of Texar, Inr. <br />2000 Bering Drive, Sucre 900 • Housron, Texaz 77057-3790 <br />tel: (713) 430-G00_0 ~fjax: (713)Q43/0/-G590 <br />By~~!-sue ~*d. ~~Cr'r.-.-•-.v--..) <br />ARSMRG-029L wSLN (Rm. 2R7) <br />IWSinwlsibyslLLIENTS1E111LYPRUSIPOLICIESV-1.97.WS1149.79 LLG-74 <br />