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GENERAL35535
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Entry Properties
Last modified
8/24/2016 7:56:28 PM
Creation date
11/23/2007 8:22:22 AM
Metadata
Fields
Template:
DRMS Permit Index
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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iiiiiiiiiiiiiiiiii <br />(~~r#t~~~~~~ ~~ ~1~t~ixr~~t~~ <br />RECEIVED <br />~: Division of Minerals & Geology Date:September 2, 1997 SEP p 8 1997 <br />Address: Department of Natual Res. Re: Attachment <br />1313 Sherman St. Rm. 216 Fax to: <br />Denver, CO 80203 Elizabeth at Twentymile Division of hi;nerals 8 i;cciogy <br />970-870-2753 <br />This is to certify that the policies designated below are in Torce on the date borne by this Certificate. <br />NAME OF INSURED: CyprUS AmaX MlneralS Company et al <br />9100 East Mineral Circle <br />Addr...: Englewood, CO 80112 <br />TYPE OF INSUPANCE POLICY 1 POLICY PERIOD <br />POLICY LIIAfrS /VALUES <br />A) Commercial General RMGL1135325 07/01/97 - $ 6,000,000 General Aggregate <br />l <br />t <br />0 <br />/C <br />d <br />Llablllty -Claims Made 07/01/98 omp <br />e <br />$ 6,000,00 <br />Products <br />e <br />Retro Date: Operations Aggregate <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 /> 07/01 /98 <br />C) Workers' Compensation OC-01611905 09/01/97 - WC: Statutory <br />Employers' Liability 09/01/98 EL: $1,000,000 Each Accident <br /> $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />D) Excess Workers' EX357 09/01/97 - Statutory Excess of a Self Insured <br />Compensation 09/01/98 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 />~~ Aon Risk Services <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 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) Old RepubliclnsuranceCo. <br />Natural Rcrourcet <br />Group <br />Aan Rifk Sen~irer of Texas, Jnr. <br />2000 Bering Drive, Suite 900 • Houston, Texas 77057-3790 <br />tel: (713) 430-6000 • fu: (713) 430-6590 <br /> <br />ilclienis~ei~i cyp s\pobt~\/-1~~7.ws114&79.Gg.doo-T4 <br />
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