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CERTIF UL WNSURANCE CIGNA Properly and casualty Companies <br /> (This Certificate of Insurance neither affirmatively nor negatively <br /> amends,extends or alters the coverage,limits,terms or conditions <br /> of the policies it certificates.) ' <br /> This is rto_Certify to � ; r V E OMPANY CODES <br /> I 2 CIGNA INSURANCE COMPANY <br /> Colorado Mined Land Reclamation Division D E C 4 1989 IE CIGNA INS.CO.OF TEXAS <br /> 1oQn1 #215, Centennial Bldg, O PACIFIC EMPLOYERS INS CO. <br /> 1313 Shexluan Street MINED LA�U INSURANCE <br /> IL�Denver, W 80203 RECLAAA.ATION L71hIlt'i,Cil� OF NORTH AMERICA <br /> -Att n: Matthmi Hayes J ❑A CIGNA INS.CO OF ILLINOIS <br /> that the following described policy or policies,issued by The Company as coded below, <br /> providing insurance only for hazards checked by "X"below,have been issued to: B❑ CIGNA INS.CO OF OHIO <br /> NppMjp Atlantic Richfield Company, its Subsidiaries and subsidiaries <br /> ADDRESS thereof as now or hereinafter constituted, Atlantic Richfield El (OTHER.—SPECIFY) <br /> OF <br /> INSURED Plaza, 515 So. Flower Street, Los Angeles, CA 90071 FOLD <br /> covering in accordance with the terms thereof,at the following locatlon(s): <br /> TYPE OF POLICY HAZARDSCQCODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY <br /> <br /> ❑ $ One Accident and <br /> Employers Liability Aggregate Disease <br /> (b) General Liability <br /> Premises-Operations lincluding "in- ® ISL Gl 01-01-90 t0 s *See Each Person <br /> cidenlal Contracts"as defined below) <br /> 077856-6 01-01-93 Below Each ❑ Accident <br /> Independent Contractors ® lids ❑ Occurrence <br /> c Completed <br /> <br /> as Aggregate-Completed <br /> described in footnote below)Pr _ _ _ _�_ _____ ___ __ _ _S — _ __ OperationsJProducts <br /> emises-Operations(Including ❑ Accident <br /> "Incidental Contracts"as defined Each <br /> below) ® ® ISL GI 01-01-90 to $ *See ❑ Occurrence <br /> E 077856-6 01-01-93 Below <br /> N <br /> o Independent Contractors Ei a S Aggrega(e-Prem./Oper. <br /> > <br /> v �'] l.l $ Aggregate-Protective <br /> ii Completed Operations/Products Ei LyJ s Aggregate-Completed <br /> a Contractual,(Specific type as Operations/Products <br /> described in footnote below) $ Aggregate-Contractual <br /> (c) Automobile Liability <br /> » Owned Automobiles ❑ ❑ �$ Each Person <br /> Hired Automobiles ❑ C] Accident <br /> 8m= {` <br /> _Nono Each wnud Automobiles _ _ _ _ � _—__— ___ __ S__ _ _ f ❑ Occurrence_ <br /> o m Owned Automobiles ❑ ❑ El Accident <br /> n Hired Automobiles ❑ ❑ S Each ❑ Occurrence <br /> Oq <br /> n❑ Nonawned Automobiles El <br /> Id) <br /> -2,000,000 Combi ed Single Limit per occurrence <br /> subject to aggr gate of $2,000,000. where applicable. <br /> Contractual Footnote: Subject to all the policy terms applicable, specific contractual <br /> coverage is provided as respects It is the intention of the company that in theevent of cancellation of <br /> Check )[-] <br /> ❑acnractthe policy or policies by the company, ten (10) days' written notice <br /> ApplicablE] purchase order agreements between the Insured and: of such cancellation will be given to you at the address stated above. <br /> Block all contracts <br /> NAME OF OTHER PARTY DATE (if applicable) CONTRACT NO. (if any) <br /> DE5CRIPTION (OR JOB) <br /> Definitions: "Incidental contract" means any written (1) lease of premises (2) easement agreement, except in connection with construction or demofmon opera- <br /> tions on or adjacent(4) to a raikoaQ 131 undertaking to indemnifyen a municipality ly re _ niupyl ordinance,a in connection with work for <br /> the municipality,141 sidetrack agreement,or 151 elevator maintenance agreement <br /> u or.zed Representative <br /> LC-1389e P[d.in U.S.A. <br /> 1.ORIGINAL <br />