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GENERAL36736
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GENERAL36736
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Entry Properties
Last modified
8/24/2016 7:57:09 PM
Creation date
11/23/2007 8:51:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
9/9/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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.- iii iiiiiiiiniiiiii <br />999 <br />~eErfi~IrAt~ u~ ~InsurAnr~ <br /> <br />To: Division of Minerals & Geology ,~._ . <br />Date: September 7, 1994 <br /> Addrass: Department of Natural Resources Re: See Attachment <br /> 1313 Sherman St., Room 216 ,EP Q ~ 1998,, <br /> Denver, CO 80203 <br /> This is to certify that the policies designated below are in force on the date borne by this Cerdflcate. <br />NAME OF INSURED: Cyprus AmaX M1Rera1S Company et a) iRClllding Subsidiary COmpanleS <br /> 9100 East Mineral Circle <br />Add ress: Englewood, CO 80112 <br /> TYPE OF INSURANCE POLICY u POLICY PERIOD POLICY LIMITS/VALUES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br /> including ProductNevdor and 04/01/95 $6,000,000 Product/Completed Opemtiovs <br /> XCU Coverage, Claims Made, GL3197125 Aggregate <br /> Retro Date: 711/86 GL3197127 $2,OtX),000 Personal and Advertising Injury <br /> a) All States $2,000,000 Each Occurrence <br /> b) Texas $2,000,000 Fire Damage (Any One Fire) <br /> $ 10,000 Medical Expense (Any One <br /> Person) <br />B) Auto Liability 04/01/94 - $2,000,000 CSL Each Occurrence <br /> a) All States CA1431816 04/01/95 <br /> b) Texas CAI431819 <br />C) Workers' Compensation 09/01/94 - WC: Statutory <br /> Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br /> California Only C016120-02 $2,000,000 Disease - Po]cy Limit <br /> $2,000,000 Disease -Each Employee <br />D) ~'Vorkers' Compensation 09/01/94 - WC: Statutory <br /> Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br /> Other States C016116-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />E) Excess Workers' Compensation •F.X-335 09/Gl/94 - Company's Limit of Indemnity Each <br /> 09/C1/95 Occunevce: Statutory <br /> Self Insured Retention: $1,000,000 <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those pollcylies) <br />which numbered above and which Issued by companies listed below. <br />~I~~1~iS~~~~4~~~1~~~14~1~f~~t~+~l:~i~~t~i~~~~~s~r~• t~+~~rl~~r~~~'1~~ <br />xXRXXXRXXXX~ gY~~4t57iYabltl7~~'ott>XaR$Kd1J6t4~751F~$XdEi'E7EX1s6~1{bkYeX)gJi1E7(71iYtjEgYt7(7~iIXJldli7tdo'41FXXt~%7E~2j7~'Ir36t~)17t jjX <br />li~x~~xnitx'~x~R:t~ltxxx~x~,eR~rt~a~r,€xzxx <br />INSURANCE COMPANYIIES) <br />ISSUING COVERAGE: <br />A)B) National Union Fire Ins. Co. <br />C)D)E) Old Republic Insurance Company <br />ey <br />2000 Bering Dr., Suite 900 <br />Houston, Tezas 77057 <br />P.O Box 763:9 <br />Houston, Texas 77276 6429 <br />Phone: 7171787-6610 <br />Telex 791 797 <br />Im'I. Telen 166 283 or 166 284 <br />Telecopter 713/787-7241 <br />14&BA.CI.G <br />
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