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GENERAL40660
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GENERAL40660
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Entry Properties
Last modified
8/24/2016 7:59:48 PM
Creation date
11/23/2007 10:48:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
8/14/1992
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~L ~/B'/„el, y Y f ~ .. !.. III I II I II I II IIII III 199U <br />1 <br />, 0 B / 1 <br />0 19 2 <br />~ROWCEfl THIS CERTIFICATE IS _ 999....... .. r INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />S E D GWI C K JAMES 0 F TN <br />I N C . DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />, POLICIES BELOW. <br />P. 0. BOX 19810 <br />KMOXVIIIE,TN 37939 COMPANIES AFFORDING COVERAGE <br />_ <br />(615) 684-9101:' ' :, ' <br />. coLlvANr A <br /> <br /> COMPANY <br />B E <br />INSUIIED LETTER <br />~~ <br />CYPRUS MINERALS .COMPANY , <br />. <br /> ,, <br />COMPANY C _ <br />AND ITS SUBSIDIARY CO. <br />P <br />BOX 3299 <br />0 LETTER <br />'Z <br />. <br />. rD <br />EN6LEWOOD,CO 80155 LETTER <br /> I <br /> COMPANY E MINERALS & GE~U_ ~:; , <br />IETTEfl <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 />NDICATED, NOTWITHSTANDING ANV REOUIREMEHT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WRN RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ~- . <br />' <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV NAVE BEEN REDUCED BY PAID CLAIMS. ~,i}f . ~.t... °. '-, <br />' °"-i'y~ <br />CO <br />LT ' •~ ' .' ~: T1'P! OP INSUIUNC! ~ - <br />~~ ~ POUCY NUYBER ~ ~ ~ POUCY EFFECT <br />DATE (MMIDD/Y1T POLICY EKPIRATIO <br />DATE (MMIDD/1'Y) ~, ~ ' ~ ~ 11YR8 ~ -~` ~ 1 <br />~_.~+'~ <br /> BEN lRAL LABILITY GENERAL AGGREGATE i R '"~ <br /> COMMERCULL GENERAL LIABILTN -' ~ PRODUCT9COMPIOP A00. i '~°~ <br /> ... CWMS MAD OCCUR ~ ~ ~ ~ PER90NAL E AOV. INJURY i ' q~~, ?'~'^ ~.~ ~ B <br /> :~,`~ OWNER'B,A CONTRACTOR'S PRO ~/ / / / EACH OCCURRENCE 3 >; p.7;, `'. <br /> ' .; j~ ~' FIRE OAMAOE (AIry' un9 9n) i ~ 'v ;tif." +:. <br /> i,: •.:, ~ .. MED. F)~EHBE WMOn9 P~~ i .' ....+'G r,l+r <br /> AUT OYOBIL! LIABILITY , ~ <br />COMBINED SINGLE r;.., y .Yee~~•. <br /> <br />i <br /> ::j: ANV /I~O~.: ~ <br />1.:. ry <br />' p ~ - OMIT ~ ~ ~ , 0 <br /> .~~ 8,F <br />1Y a <br />ALL+O~ AUTO6 . ~ ~ e . ~ F_' BODILY INJURY ~ i ~ ~ .r.1': <br /> ~~'" 6CHEOULED AUT09 1 <br />F <br /> , y,,, , <br />. <br />, <br /> ~ <br />'' ~ <br />~ ~ ~ ~ <br /> ? <br />? HIRED AIfTOS ., ~,j <br />F BODILY INJURr <br />~ ~ <br />-' <br />i , <br /> ': NON-0WNED AUi09 Wo ~celEmq ~ 0 <br /> OAMOE LUUJILITY <br />PROPERTY DAMAGE <br />i <br /> . 0 <br /> QOg9 LIABILTY ~ . ` ~ <br />~ _ EACH OCCURRENCE i <br /> „q , <br />UMBRELLA FORM ....: ._ <br />»~' I I l / I AGGREGATE ~.. i <br /> < OTHER THAN UMBRELLA FORM ~ ' <br /> ~. ~ WORKER'S COYPEMSATON ~ STATUTORY LIMBS <br /> EACH ACCIDENT ~ ~ <br /> <br />A AN0 ._ 0 <br />* <br />^ <br />' <br />' 000404605 <br />~ 07/01/92 07/01/93 DISEASE-POLICY UMR <br /> CYPLOYER9' IuBM1RY..;lp? <br />~ <br />: : <br />' r : ~' ,::• <br />DISEASE-EACH EMPLOYEE <br />• ~ <br /> OTNFJi <br />A EXCESS W.C. EX286 07/01/92 07/01/93 STATUTORY <br />DE9091PTON OP OPEMTIONBIIOCATION3/YENICLE9/SPICIAL REY9 <br />SEE ATTACHED _ <br /> <br />' ~ SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />STATE O F COLORADO EXPIR~~ON DATE THEREOF, THE ISSUING COMPANY WILL <br />MINE LAND RECLAMATION DEPT. ~ MAIL_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />1313 S H E R M A N STREET , SUITE 215 LEFT, BUT F ILURE MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />DENVER . C 0 8 0 2 0 3 LIABILTY AN UPON THE COMPANY, ITS AGENTS OR RESENTATNES. <br /> AUTNONZED R ESEMT~YE T ~„ ~ <br />~v . <br />
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