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GENERAL42247
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GENERAL42247
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Entry Properties
Last modified
8/24/2016 8:10:46 PM
Creation date
11/23/2007 11:40:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
8/1/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII <br />//~~ 999 <br />lHErfI~YLZifE II~ ~nS1lxAnrQ R <br />o~;; ~o <br />To: State of Colorado Date: July 29, 1994 S'~~o,, I I99~ <br />Aaareas: Mined Land Reclamation Div. Re: ~~,... <br />c•,.. <br />1313 Sherman Street, Suite 215 `'~u <br />Denver, CO 80203 L~, <br />~~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: CypCUS Amax Minerals COmpany Et al <br />91vv East IvIinerai Circle <br />Adareea: Englewood, CO 80112 <br />7YPE OF INSURANCE PoLICT / PoUCY PERIOD POLICY UYn$NALUF9 <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />Claims Made, Retro Date: 4/1/94 04/01/95 $6,000,000 Product/Completed Operations <br />a) All States GL3197125 Aggregate <br />h) Texas GL3197127 $2,000,000 Personal and Advertising Injury <br /> $2,000,000 Earh Occurrence <br /> 52,000,000 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 />h) Texas CA1431819 <br />C) Workers' Comperlsatioo OCC0404b06 04/01/94 - WC: Statutory <br />Employers' Liability 09/01/94 EL: $2.,000,000 Each Accident <br /> $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />D) Excess Workers' Compensation EX-316 04/01/94 - Company's Limit of Indemnity Each <br /> 09/01 /94 Occurrence: Statutory <br />- Self Insured Retention: $1,000,000 <br />This 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 any 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) ISSUING COVERAGE: <br />A) & B) National Union Fire lns. Co. <br />C) & D) Old Republic Insurance Company, <br />2000 Bcdng Dr., Suite 900 <br />Houston, Texas 77057 <br />P.O. 13ox 36429 <br />Housmn, Tcus 77236b429 <br />Phone: 713/763lG40 <br />Int'I Telex 166 283 or 166 284 <br />713/783-7241 <br />ey <br />1~/J.C-II <br />Authorized Represent/live <br />E17-023 (Rev. 3/89) <br />
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