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GENERAL38106
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GENERAL38106
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Entry Properties
Last modified
8/24/2016 7:58:00 PM
Creation date
11/23/2007 9:29:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/6/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III Illlllllllm ~d <br />.., <br />" 'II ~I~~n1111111111 <br />A';"';1e _ ~1 BJJ ISSUE DATE (MM/DD/YV) <br />J <br /> 07 01 93 ' <br />vnooucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SEDGWICK JAMES OF TN, INC. POLICIES BELOW. <br />P . 0 . B 0 X 19 610 <br /> COMPANIES AFFORDING COVERAGE <br />KNOXVIIIE,TN 37939 <br />(615)564-9101 COMPANY A: OLD REPUBLIC INSURANCE CO. <br />A <br /> LETTER <br /> COMPANY B: RFC <br />EIVFC3 <br />LETTER B <br />INSURED J <br />CYPRUS MINERALS COMPANY COMPANY C: <br />~ <br />AND ITS SUBSIDIARY CO. LETTER <br />JUL 06 1993 <br />P. 0. BOX 3299 COMPANVD D: <br />ENGLEWOOD,CO 80155 LETTER <br /> Droision ai vllnerels s Utaloyy <br /> COMPANY E E <br /> LETTER <br />_- r••r <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED 8Y PAID CLAIMS. <br />~ TYPE OF INSURANCE POUCY NUYBER ~ POUCY EFFECTIVE POUCY EXPIRATION LIYITS <br />LTR'. DATE (MMIDD/YY) DATE (MMA)DIY'n <br />GENERAL LIABILITY ~ GENERAL AGGREGATE S 0 <br />;COMMERCIAL GENERAL LABILITY PRODUCTSLOMPIOP AGG. f 0 <br />~L, ', ~i __jCWMS MADEi __~OCCUR,~ <br />=} PERSONALBADV.IWURY f 0 <br />OWNER'S 8 CONTRACTOR'S PROT, <br />'i / / / / EACH OCCURRENCE s 0 <br />~ FIRE DAMAGE (My one lire) f 0 <br /> MED. EAPENSE N^Y m^ PYeen) f <br />AUTOMOBILE UABILITY COMBINED SINGLE <br />f <br />~ ANY AUTO UNIT <br /> <br />ALL OWNED AUTOS 0 <br />' <br />- , . BODILY IWURY <br />f <br />SCHEDULED AUTOS / / / / ! (Per pe,eanl <br />0 <br />IHIRED AUTOS ~ <br />~ ~ <br />'BODILY IWURY <br />_ <br />' NON-0WNED AUTOS ' (Per ecclESnD f <br />0 <br />-. ~GAMGE LABIDTY __ ._ - <br />i-~---~j PROPERTY DAMAGE i <br />i I 0 <br />EXCESS UABILffY j ;EACH OCCURRENCE I f 0 <br />UMBRELLA FORM ~ / / / / ,AGGREGATE f 0 <br />OTHER THAN UMBRELLA FORM ~ ' <br />' WORKER'S COMPENSATION ~ STATUTORY LIMBS <br /> ~FJ,CH ACCIDEM S 500,000 <br />' AND <br />A' 0000404606 <br />' 07/01/93 07/01/94 DISEASE-POLICY LIMIT s 500,000 <br />EMPLOYERS <br />LIABIUTY <br />' <br />~ DISEASE-EACH EMPLOYEE S 0 0 <br />OTHER <br />A~EXCESS W.C.. ~ EX316 '07/01/93'07/01/94 STAT. XS OF S1MM S? <br />DESCRIPTION OF OPEIIATIONSA.OCATIONS/VENICLESlSPECIAL KEYS <br />SEE ATTACHED <br />EXCESS W.C. APPLIES TO COLORADO <br />GLIDE. ~..~. a.. ~-`~.~ ~SANCELLATION: +'r"~~`r'~..~.~ ~~v i • ~T„ ~_ ~.:.._,,. <br /> 7~ <br /> ~~, _ <br />STATE OF COLORADO <br />MINE LAND RECLAMATION DEPT. ;, <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER,CO 60203 P' <br /> - AUTNOR2ED REP SENT E <br />~• ~v <br /> ,'..~'.T"``:,'' `.;;`~L'iY~'i~:':~r'e'S."IO..ACO~iU~CyO ~TQ~'1;991. <br />
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