GENERAL37324

• Permit No: C1980007
• IBM Index Class Name: General Documents
• Doc Date: 1/17/1986
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

1-15-86 INSURANCE COMPANY OF NORTH AMERICA ~~~~+~~~=~
'~~ GROERTOFICATE OF NSURANCEIES C
` v (This Cer[Ihcate or Insurance neither altirmatively nor nega«vely amends, extends JAN 17 1986
or alters the coverage, I,mi[f, terms Or conditions OI the policies ~1 certiliCale3.)
This is to Certify to C0~9 ' D ~~^,..;'-'i~j;~TilUi
~~ ~~ ~f 1 L'J
I- ~ f~L,lo. Dept. of ?i2•~ra! Rr-~ufce:
C'DlOradO i"L1neC1 Iand FdeClartmatim D1viSiQi ©INA UNDERWRITERS INS. CO.
lawn 423, Q~Iltennlal Blvd. Qj INA OF TEXAS
1313 Sherman St.
1>enver, Coloradp 80203 ^5 PACIFIC EMPLOYERS INS. CO.
L J INSURANCE COMPANY
Q
OF NORTH AMERICA
[hat the lollowing descr,betl policy or policies, issued by The Company as coded below,
providing insurance only for hazards checked by "X" below, have been issued to: Q INA INS. CO. OF ILLINOIS
NAME Atlantic Richfield Company, Its Subsidiaries and subsidiaries
AND
ADDRESS thereof as now or hereinafter constituted, Atlantic Richfield ®INA INS, CO. OF OHIO

Plaza, 515 So. Flower Street. Los Angeles
CA 90071 FOLD

^ IOTHER;-SPECI~VI
,
INSURED
cOVer,ng ,n accortlance with the terms [hereo 1, at Ine IOllowing Io~a«onlsl:
Including Anaconda Minerals -Coal
TYPE OF POLICY 00. CODE POLICY NUMBER POLICY PERIOD LIMITS OF LIA BILITV
la) Standard Workmen's statptPry w. c
Compensation & ~ ~ 5 one Accident erne
Employers' Liability Aggregate Disease
Ih) General Liability
Premises-Operations (including "In-
'~
S Eacn Person
as defined below)
eidental Con«acts ^ Accident
' ® ~ SCG GO O1-O1-84 to •See Each
rrence
$ ~ ^ Occ
c Independent Contractors
- 515710.9 01.01-87 u
Below
p Completed Opera«pns/Products
m
Contractual, ISpec~fic type as

®

®
Aggregate~ompleted
P
described .n footnote belowl
_ _ _ _ _ _ _ _ _ _ _ _ _ _ 5 _ _ _ _ Operations/
roducts _
_
Premises-Operations Ilnclutlin9 ^ Atcttlen[
"Incidental Contracts' as definetl ® ® Eacn
~ ^ Occurrence
belowl
O Independent Contractors ® ® SCG GO 01-01-84 t0 5•See Aggregate-Prem./Oper.
515710.9 01-01.87 S BeIOW Aggregate-Protective
o Completed Opera[iOnslProd ucts ® ® S Aggregate-Completed
a` Operations/Products
Contractual, ISpecilic type as
tlescnbed in footnote belowl S Aggregate-Contractual
(c) Automobile Liability
Owned Automobiles

a.?I Hired Automobiles
o c ~ ~
SCA ~17
01'01.84 t0
01.01-87 S! Each Person
See
^ Acudenr
BeIOW {

m _NOp owned Automobiles -
Eacn
S ) ^ Occurrence
_ _ __ ___ _ - - -
_ _ -- - - _
_
~ - _ - - - -
~
^
Owned Autpmpbde5
~ ®
®
~
SCA 6317
01-01.84 t0 {
Accident
$"See Each ) ^ Occurrence
o Hired Automobiles
01.01.87 I
$eIOW
a
Nonowned Automobiles ® 9
Id)
•2,000,000 Combined S gle llmft per oetumrlca wbjad u agyngaa of
Yt,000,000 whero applic ibla. Thb Polk7r corers all opentlwah a! Suter.
Contractual Footnpn: Suhleu to all the policy terms aopl,cable, speuhc contractual
coverage ~s provided as respects
Chaclt \\^ a contract
~Applieabl.l^ purchase order agreements between the Insured and:
elock / ^ all contracts
-NAME OF OTHER PARTY
It ii the mRnnpn of the cOmpanv :net in the event OI canCCllahpn Os
the pOIiCV Or Policies by the company, ten 1101 daVS~ wri lien nOM1te
Ot such cancellappn wJl be given ro you ~~ the address stated above.
CONTRACT NO.lir an
D~rinitiona: "In<itlental contract" means any written I11 lease of prem,ses 121 easement agreement, x n conneci~an w~[n cons[ruc«pn or demoli«on opera
lions on or adlacenl to a ra,lrpdd, 131 untlertaking to ,ndemnify a mun,c~pal~[y required by is ordina ce, eacep[ n con neptlOn w~[h work fpt
the municipab ry, 141 sidetrack agreement, or (51 eleva wr maintenance ag•eement. ~ ~I^,~ -- ^ -
Georg! MCM-arnrul~YAvNOnLzep Represemanve
LC~I l89d Ptd. .n U.S.A.
1. ORIGINAL