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GENERAL41393
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GENERAL41393
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Entry Properties
Last modified
8/24/2016 8:09:12 PM
Creation date
11/23/2007 11:10:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/13/1987
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br /> <br /> • • • DD/rv) <br />~ IIIIII'IIIIIIIIIIII Is <br />( <br /> 07/61/ <br />87 <br /> PROpyICER <br />S~ <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFER6 <br /> Q aOW s HOT AMEND, <br />G <br />E <br />YNTH <br />~ <br />H <br />~ <br /> Fred <br />S <br />Jame <br />f C <br />L C <br />l E1fTEND OR ALTER THE COVERA <br />E AFFORD <br />D B <br />E <br />PO <br />LICIE9 B <br /> . <br />. <br />s <br />o. o <br />o <br />o. , I c. <br /> Crump/Warren ~ SD:raler <br /> COMPANIES AFFORDING COVERAGE <br /> 720 South Colorado boulevard <br /> Denver. Colorado 80222-1910 `~oFnpANYA <br /> T ER Dld Re L,hlic Insurance Co. <br /> COMPANY <br /> <br />INSURED B <br />LETTER <br /> <br /> Cyprus Minerals Company COMPANY <br />C <br /> Twenty Mile Coal Company LETTER <br /> ~2~~ SOUth Alton Way COMPANY <br />D <br /> Englewood, CO. 80155 LETTER <br /> COMPANY E <br /> LETTER <br /> ~ .. <br /> TH1913 TO CERTIFY THAT POLICIE9 OF INSURANCE LISTED BELOW N AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDIGTED, <br /> NOTWRHSTANDING ANY REOUmEMENi, TERM OR CONDITION OF AN Y CONiAACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFlGTE MAY <br /> BE ISSUED OR MAY PEpTAIN, THE INSURANCE AFFORDED BY THE P OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E%CLUSIONS, AND CONDO <br /> TONS OF SUCH POLICIES. <br /> CO <br />LTR rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />GATE IMM/OD/Y1T POLICY EJ(PIMTION <br />GATE IMM/OD/YY) ALL LIMITS IN TNOUBANDB <br /> GE NERAL LIABILITY ZZ5OlO5 7-01 -$7 07-O1-ES GENERAL AGGREGATE $ 2, OOO <br /> X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ 2, OOO <br /> X X CLAIMS MADE ^OCCURRENCE PERSONAL 8 ADVERTISING INJURY $' Z, OOD <br /> X OWNER'S 8 CONTRACTORS PROTECTNE EACH OCCURRENCE $ 2. OOO <br /> FIRE DAMAGE ZANY ONE FIRE) ,~' <br /> <br /> MEDICAL EXPENSE ZANY ONE PERSONI ,~ <br /> AU TOMOBILE LIABILITY TH 13033 7-O1-87 07-01-63 <br /> X ANY AUTO csL <br />$ 2.000• <br /> X ALL OWNED AUTOS <br /> <br />X <br />SCHEDULED AUTOS emlLr <br />ivEA v~wro <br /> X HIRED AUTOS mOILr <br /> <br />X <br />NON-OWNED AUTOS IN,URY <br />1PER <br /> ~ <br />~~~SSS <br />• <br />~ /~aIDFNl7 <br /> GARAGE LIABILITY --- v <br />- N <br /> ~`+ (~ ~ <br />"'xxxiiiTTT y FRDPERTY <br />DAMAGE <br /> <br />W <br /> EKCESS LIABILITY ~ ~ <br />f EACH <br />OCCURRENCE AOOPEOATE <br /> n <br />~ 198 <br /> OTHER THAN UMBRELLA FORM ~ M~~ _ __ <br /> WORKERS'COMPENSATION (. 'q r~ ~ <br />~ STATUTORY <br /> AND f <br />u~V/S, ~ (EACH ACCIDENn <br /> O <br /> EMPLOYERS' LIABILITY ~ (DISEASE-POLICY LIMIT) <br /> DI <br />A <br />H <br />MP <br /> ( <br />SE <br />SE-EAC <br />E <br />LOYEFI <br /> OTHER <br /> DESCRIPTION OFOPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS <br /> <16) broad Fc~~m Vendcrs Endorsement i/IC 1. <br /> Regarding operations at 29515 RDUtt County Ro=:i 27, Oa4 Creek, CO. <br /> • ~ <br /> Mine Land R e c 1 a^a * i o n D i V. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Ex• <br /> 423 C en t e nn i a 1 H:J i l d i ny PIRAnO®OoATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br /> 1313 Sherman Str ee*. MAIL GAYS NTRIT'IEN NOTICE TO THE CERTIFlGTE HOLDER NAMED TO THE <br /> Denver, CO. 80203 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLlGAT10N OR <br /> LIABILITY OF ANY KIND UPON THE COMPANY, RS AGENTS OR REPRESENTATVES. <br /> AUTHORIZED REPRESENTATIVE <br /> t <br /> <br />
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