My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GENERAL36259
DRMS
>
Back File Migration
>
General Documents
>
GENERAL36259
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/24/2016 7:56:53 PM
Creation date
11/23/2007 8:40:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
9/5/1995
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
2
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
~. <br /> <br />C~Qr~~~t~~~~ .>~~ <br /> <br />REC~ivEc <br />SEP 0 5 1995 <br />TO~ Division of Minerals & Geology <br />Address: Department of Natural Resources <br />1313 Sherman St., Room 216 <br />Denver, CO 80203 <br />Date: AugusC 31, 1995. <br />we: See Attachml~tslon of minerals B Geoloyy <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: CypfUS Amax Mmeials COmpan)' et al including Subsidiary Companies <br />9100 East Mineral Circle <br />Address: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY Y POLICY PERIOD POLICY LIMITS /VALUES <br />A) Commercial General Liability - 07/01/95 - $ 6,000,000 General Aggregate <br />including Product/Vendor and XC 07/01/96 $ 6,000,000 Product/Completed Operations <br />Coverage, Claims Made, Retro GL1212703 Aggregate <br />Date: 7/1/86 GL1212702 $ 1,000,000 Personal and Advertising Injury <br />a) All States $ 1,000,000 Each Occurrence <br />b) Texas $ 1,000,000 Fire Damage (Any One Fire) <br /> $ 10,000 Medical Expense (Any One <br /> Person) <br />B) Au[o Liability 07/Ol/95 - $2,000,000 CSL Each Occurrence <br />a) All States CA1351198 07/01/96 <br />b) Texas CA1351196 <br />C) Workers' Compensation 09/Ol/95 - WC: Statutory <br />Employers' Liability 09/01/96 EL: $1,000,000 Each Acciden[ <br />Other States OC-016119-03 $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each Employee <br />D) Excess Workers' Compensation ANR-4852 09/01/95 - Company's Limit of indemnity Each <br /> 09/01/96 Occurrence: Sta[u[ory <br /> Self Insured Retention: $1,000,000 <br />7B]tlKLf~Ib1P]gA(O(OL7C]PXJ7(ltlIE7{~OCaCABf0t16XB7¢ERdHCOm[aloe]mCll1~?UDY9P3i~ACX[N07E1~dmyCb7[s61(J~CxO{J~'ll(4QXX <br />nx ]vt~ns®ci~ts~ic4t~dmttxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx <br />SEVERAL LIABILITY NOTICE (LSW 1001) AON NATURAL RESOURCES WORLDWIDE <br />The subscribing insurers' obligations under contracts of insurance to which they sub- 200o ecring or.. suite 9o0 <br />scribe are several and not joint and are limited solely to the extent of their individual HousloD. Texas 77057 <br />subscriptions. The subscribing insurers are not responsible for the subscription of any ~ • P.o. eo. 364?9 <br />co-subscribing insurer who for any reason does not satisfy all or part of its obligations. Flousron. Texas 7x276-W?9 <br />Phone: 713/783-6640 <br />INSURANCE COMPANY(IES) ISSUING COVERAGE: Telecopier: 713/7R3-7?41 <br />A)B) National Union Fire Insurance Company of Pittsburgh PA <br />C)D) Old Republic Insurance Company <br />148-BA.CLG <br />ANR~OPd IRev S/951 <br /> <br />-III IIIIIIIIIIIIIIII <br />999 <br />
The URL can be used to link to this page
Your browser does not support the video tag.