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GENERAL40851
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GENERAL40851
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Entry Properties
Last modified
8/24/2016 7:59:58 PM
Creation date
11/23/2007 10:53:45 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
9/14/1992
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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REVISED III~IIIIIIIIIIIIIII <br />M t <br />* <br />~,~~1~1e SiOO IBSUE DATE (MM/OD/YY) <br />~~~ I 999 Y <br />BA~ <br />U <br /> b <br />^ <br />PRODUCER AS A MATTER OF INFORMATION ONLY AND <br />T}11S CERTIFICATE IS ISSUED <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, E%TEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SEDGWICK JAMES OF TN, INC. POL LIES BELOW. <br />P. D. BoX 19810 COMPANIES AFFORDING COVERAGE <br />KNOXVILLE,TN 37939 _ <br />(615)564-9101 COMPANY A: NATIONAL UNION FIRE INS. CO. <br />A <br /> LETTER <br />_ _ ~ COMPANY 8 ~~---~_- _ <br />B <br />INSURED ' LETTER <br />if' <br />~ <br />CYPRUS MINERALS COMPANY __ <br />co PANV C ~ <br />~~ 0 ~:/ '_ <br />C <br />AND ITS SUBSIDIARY CO. LETTER <br />- -- - - <br />P. 0. 80X 3299 COMPANY <br />SEP 141992 ' <br />°v <br />ENGLEWOOO,CO 80155 D <br />LETTER --__ _-_ __ --_ j <br /> COMPANY E E I~i~,; ~.' ~' ~ .. I <br /> LETTER <br />-~ i <br />,_ <br />- <br /> y~~y~ <br />yi, <br />~p <br />J <br />t w..-...~5..'MJI ~i]IiY~r°~4~i,r~.., .LLJ2 ~uu <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 TO ALL 7NE TERM5, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />COi TypE OF INBURAMCE POLICY MUYBER <br />lTR ~ POLICY EFFECTIVE POUCY EXPIMTIOM LIMIT9 <br />DATE (MM/DOM') GATE (MMIDDIYV) <br />I GENERAL LIABILITY ~ GENERAL AGOREGATE f4 , 0 0 0, 0 0 0 <br />C 'COMMERCIAL GENERAL LIABILITY PRODUCTS~COMPIOP AGG. Q, 0 0 0, 0 0 0 <br />^r M CLAIMS MADH~ OCCUR.' PERSONAL 8 ADV. INJURY 32 , 0 Q 0 , 0 Q <br />Q <br />i <br />A CP~OWNER'SBCONTRACTOR'SPROT. RMGL3264B2B - <br />_ <br />07/01/92 07/01/93 EACH OCCURRENCE 32,000,000 <br />XJPRODUCT/VENDOR FIREpAMAOE(AnyoneBn) s2,000,000 <br />X X C U MED. EXPENSE IMy ona poem) 3 0 <br />AUTOMOBILE LIABILIT/ I COMBINED SINGLE <br />'AA. ANY AUTO <br />^ LIMIT 1,000,000 <br />' AlL OWNED AUTOS BODILY INJURY <br />3 <br />A scHEDULEO Au7os R M C A 14 2 8 7 4 4 0 7/ 01 / 9 2 0 7/ 01 / 9 3 (Per person) _ <br />0 <br />HIRED AUTOS <br /> <br />-^ BODILY INJURY <br />I <br />f <br />NON-OWNED AUTOS IPer a<tlemq - <br />- 0 <br />GARAGE LIABILITY I <br />-~ PROPERTY DAMAGE 3 0 <br />E%CE99 LIABILITY i EADH OCCURRENCE S <br /> <br />_y <br />~^ UMBRELLA FORM / / / / AGGREGATE f 0 <br /> <br />- <br />- <br />I OTHER THAN UMBRELLA FORM ~ <br />` <br />WORNER'9 COMPENBATION I STATUTORY LIMITS <br /> EACH <br />ACCIDENT <br />S <br />0 <br />AND <br />~ I . <br />__ <br />_ _ <br />/ / / / DISEASE-POLICY LIMIT f 0 <br />EMPLOYERS' LIABILTY ~ DISEASE-EACH EMPLOYEE S 0 <br />OTNER <br /> / / / / <br />DESCRIPTION OF OPEMTIONSILOCATIONB/VEHICIBBIBPECIAL ITEMB <br />SEE ATTACHED <br /> ~: ~„~ ` <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />1313 SHERMAN STREET <br />DENVER,CO 80203 <br /> NORI2ED21EP BENTA _ <br />~• m~ <br /> ' ~~ ~~ i= ~'"CdCOROTCORPOp11Ti0'N f900 <br />
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