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GENERAL38170
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GENERAL38170
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Entry Properties
Last modified
8/24/2016 7:58:02 PM
Creation date
11/23/2007 9:31:11 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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<br />~\~ ` III IIIIIIIII IIII III <br /> <br />AI./11\IIe _ _ _ _ 999 ISSUE DATE lM1uD0/YY) <br /> 06/22 93 <br />PROOUCEn .. ~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES N07 AMEND, EXTEND OR ALTEA THE COVEAAGE AFFORDED BY THE <br />SEDGWICK JAMES OF TN, INC. POLICIES BELOW. <br />P. 0. BOX 19810 <br /> COMPANIES AFFORDING COVERAGE <br />KNOXVIILE,TN 37939 <br />(615)584-9101 COMPANY A: NATIONAL UNION FIRE INS. CO <br /> . <br />LETTER A <br /> Y B B ) <br />INSURED LETTER <br />R EC E i V E D <br />CYPRUS MINERALS COMPANY COMPANY C: <br />AND ITS SUBSIDIARY CO. LETTER C <br />P. 0. BOX 3299 D: JUL OV 1JJJ <br /> COMPANY <br />D <br />ENGLEWOOD,CO 80155 LETTER <br /> COMPANY E E = Division a Mulch,:. ~ urulilyy <br /> LETTER <br /> <br /> <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER100 <br />INDICATED, NOTWITHSTANDING ANV 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR' POLICY EFFECTIVE POUCT EXPIRATION LIYITS <br />GATE (MM/DDM') .DATE (MMlDOlVY) <br />GENERAL LIABILITY GENERAL AGGREGATE 1 4, 0 0 0, 0 0 0 <br />C COMMERCIAL GENERAL LUBILRY PRODUCTSLOMPIOP AGG. f 2, 0 0 0, 0 0 0 <br />~. <br />. ',L~M CWMS MADE OCCUR. <br />PERSONAL: AOV.IWUPV 52,800,008 <br />A C P' owNERS a coNTMCrons PROr: R M G L 17 5 9 4 61 0 7/ 01 / 9 3 0 7/ 01 / 9 4 EACH OCCURRENCE : 2, 0 0 0, 0 0 0 <br />X ~ PRODUCT/VENDOR FIRE DAMAGEIAnyonelira) :2,000,000 <br />X X C U ~ MED. EXPENSE V+0' ons psmn) i 0 <br />' AUTOYOBILE LIABILITY <br />COMBINED SINGLE <br />s <br />AA~ANYAUro LIMIT <br />1, 000, 000 <br />,ALL OWNED AUTOS ~ BODILY INJURY <br />A j SCHEDULED AUTOS R M C A 14 31101 0 7/ 01 / 9 3; 0 7/ 01 / 9 4~ cP°f POf°°") 5 0 <br />,HIRED AIROS <br />• ._ <br />BODILY INJURY 5 <br />!NON-0WNED AUTOS (Per sccl0enl) 0 <br />GARAGE LIABILRY <br />--~--~ PROPERTY DAMAGE f 0 <br />i EXCESS LIABILRV ~ ~. :EACH OCCURRENCE i 0 <br />'---1 UMBRELLA FORM / / / / ~ AGGREGATE i 0 <br />OTHER THAN UMBRELLA FORM ~ ~ _ ~-_---_~- ~ ~ ~ ~~ - -- - <br />WORKER'S COMPENSATION STATUTORY LIMRS <br /> EACH ACCIpENT 5 0 <br />ANO <br />/ / / / DIBEASE-POLICY LIMR f 0 <br />EYPIOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE f 0 <br />OTHER <br /> / / / / <br />DESCRIPTION OF OPEMTIONS/LOCATIONS/VENICLESISPECIAL ITEYS <br />SEE ATTACHED <br />iCER 1CAA'If <br />_ TAE ~101A ~ C71NCE1'111~TION S';''"J'r z' <br /> <br />_. <br />.. <br /> f <br /> Y <br />STATE OF COLORADO ~`~ <br />MINED LAND RECLAMATION DIVISION ~~~ <br />T :iT'T SHFRMAN STREET '~~' <br />
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