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GENERAL41377
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GENERAL41377
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Entry Properties
Last modified
8/24/2016 8:09:03 PM
Creation date
11/23/2007 11:09:59 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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1 iiiiiiiiiiiiiiiiiii <br />~~ ~ ~ertific~te of ~lugur~uce <br />~~ Aon Risk Servic-ef <br />To: Division of Minerals & Geology Rg: Attachment <br />Department of Natual Res. Fax lo: <br />1313 Sherman St. Rm. 216 Tracey at Twentymile <br />Denver, CO 80203 970-8 <br />RECEIVED <br />Assured: Cyprus Amax Minerals Company et al N~V 2 <br />9100 East Mineral Circle <br />Englewood, CO 80112 <br />DIV. OF MINERALS <br />8 GEOLOGY <br />This Is b cerh'ly Mel Me polkles or Insurerlce Ilsled bakes have been Issuetl b Me Insurotl nemetl above Ior the polky pertotl Indlceled, nofwllhstendlnp any <br />rtqu/rarrlenL term, or contllllon o/eny conhacl or oMer document wIM respect b whkh Mla certi/ICele maybe Issued or may perteln. The Insurance aRarcbd by <br />Me po/klea tlescrtbed heroin Is suh/ecf M ell Me fennt, exclusions entl corMllkne o/such pdkles. LIMIS shown may have been ratluced by peld clelme. <br />Type of <br />Insurance Policy <br />No. Policy <br />Period Policy <br />LimitsNalues <br />A) Commercial General RMGL6121972 07/01/98 - $ 6,000,000 General Aggregate <br />Liability 07/01/99 $ 6,000,000 Products/Completed <br /> Operations Aggregate <br /> $ 1,000,000 Personal and <br /> AdveAising Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire) <br /> $ 10,000 Medical Expense (Any <br /> One Person) <br />Insurance Company(ies) National Union Fire Insurance Company of Pittsburgh, PA <br />B) Auto Liability RMCA3209148 07/01/98 - $ 2,000,000 CSL Each Occurrence <br /> 07/01/99 <br />Insurance Company(ies) National Union Fire Insurance Company of Pittsburgh, PA <br />C) Workers' Compensation OC-01611906 09/01/98 - WC: Statutory <br />Employers' Liability 09/01/99 EL: $1,000,000 Each Accident <br />$1,000,000 Disease -Policy Limit <br />$1,000,000 Disease -Each <br />Employee <br />Insurance Company(ies) Old Republic Insurance Co. <br />D) Excess Workers' EX358 09/01/98 - Statutory Excess of a Self Insured <br />Compensation 09/01/99 Retention: $1,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscrtbinp Insurers oDllpalicns under cronhacfs or Insurance b whkh Mey subscribe ere several entl not /olnl end era IlMletl solely b Me exhml d Melt <br />Intllvltlual subscdplbns. The subscrtbinp Insurers era not respons/bleror the subscrtplkn orenycnsubscrtbinp Insurer who ror any reason does not sehslyall or <br />pert o//h obllpeh'ons. <br />This certiricele is issued as a matter of inlormalion only end conlera no riphls upon the cerlihcele holder. This certificate does not emend, extend or alter the <br />ewerage eflorded by the policy(ies) ahorm hereon. Should any of the above deaeribed policies he canceled belore Iha expiration date Iheraof, Ihic epenry, on <br />behal/ of the issuing campany(ies), willtaoEeeomab mail 60 days written nclice to the above named cediricale holder, hall <br />enq. <br />Date: November 17, 1998 <br />Aon Risk ervices of Texas, Inc. <br />;1 on Rich \„li,n of Tx. n. Inc <br />2f100 Berm77,,~ Drive, Suice 900 • Houston, Texas 77057-3710 • cal: (713) 4;11-6000 • fax: (713) 430-6590 <br />H 1CLIENTSW.on\CYPRUSIPOLICIE$~Lease 1198\148-75s clp.doc <br />17H 71g8 77 16 PM <br />
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