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<br />(~~r#i~it~#~ u~ ~nBUrAnrP <br />RFf;Fi~/F?~~ <br />ro: State of Colorado Data, September 1, 1994 SEP 06 1994 <br />Adore::: Mined Land Reclamation Division Re: See Attachment <br />1318 Sherman Street ~ ; ; <br />Denver, CO 80203 ~-• ~ •,arl!r ;•,Illtaas.;<~:e,,.o;y <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: Cyp111S AmaX MlneralS Company et al <br />9100 East Mineral Circle <br />Adores:: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY # POLICY PERIOD POLICY LIMITS/VALVES <br />A) Commercial General Liability - 04/Ul/94 - $6,000,000 Geneva! Aggregate <br />Claims Made, Retro Data: 4/1/94 04/01/95 $6,000,000 Product/Completed Operations <br />a) All States GL3197125 Aggregate <br />b) Texas GL3197i27 $2,000,000 Pesonsl end Advertising injury <br /> $2,000,000 Each Occurretce <br /> $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 CA1431814 <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 -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />D) Workers' 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 EX-335 09101!94 - Company's Limit of Indemnity Each <br /> 09/01/95 Occurrence: Statutory <br /> Self Insured Retention: $1,000,000 <br />Thls certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policylies) <br />which numbered above and which issued by companies listed below. <br />Shoul~n ny of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail <br />days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or <br />liability of any kind upon the company, or upon this agency. <br />INSURANCE COMPANV(IES) <br />ISSUING COVERAGE: <br />A)B) National Union Pire Ins. Co. <br />C)D)E) Old Republic Insurance Company <br />118-B.Ct.e <br />