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GENERAL43579
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Last modified
8/24/2016 8:12:23 PM
Creation date
11/23/2007 12:28:34 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
6/29/1998
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III VIII III III _~ a <br />~ertf f ic~te of ~1u~urauce <br />~~ Aon Risk Services <br />To: Division of Minerals & Geology Rg; Attachment <br />Department of Natual Res. Fax to: <br />1313 Sherman St. Rm. 216 Elizabeth at Twentymile <br />Denver, co 60203 '~7.FCEIVED s7o-a7o-2753 <br />JUN 2 9 1998 <br />Is & Georogy <br />Assured: Cyprus Amax Minerals Compa§~~ <br />9100 Easl Mineral Circle <br />Englewood, CO 80112 <br />This is to certity that the policies o! insurance listed below have been issued to the Insured named above !ar the policy pedod indicated, nolwilhslanding any <br />reguiremenl, term, or rondilipn of any ronlmcl or a(her document with respect fo which This certilcafe maybe issued or may pertain. The insv2nce ellorded by <br />the policies described herein is subject to ell the lama, exclusions and rondilions of such policies. Limits shown may have been reduced bypeid Gaims. <br />Type of Policy Policy Policy <br />Insurance No. Period 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 Advertising <br />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-01611905 09/01/97 - WC: Statutory <br />Employers' Liability 09/01/98 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' EX357 09/01/97 - Statutory Excess of a Self Insured <br />Compensation 09/01/98 Retention: $1,000,000 any one <br />occurrence <br />Insurance Company(ies) Old Republic Insurance Co. <br />The subscribing insurers' obligations under contracts o/ insurence fo which they subscribe ere several end not joint and are limited solety to the extent o! (heir <br />individual subscdptions. The subscdbing insurers ere not responsible /or the subscdption o! any rosubscdbing insurer who !or any reason does riot sefisly all or <br />part of ifs obligations. <br />This cenilicate is issued as a maaer of inlonnation only and coolers no rights upon the cedilicate holder. This canilicale does not amend, extend or alter the <br />cweraga aHordetl by the policy(ies) shown hereon. Shoultl any of the above described policies be canceled before the expiration dale thereof, This agency, on <br />behall of the issuing compeny(ies), will )mr,dpgp~)~ mail 60 days wdden notice to the above named cenilicale holtler, I <br />Date: June 25, 1998 <br />Ana l~i.~k Snrn e. u% Tr.i.a. Inc <br />Aon Risk Services of Texas, Inc. <br />?OUO F3ering Drive, Suire 900 • Housron,'I'exus 77057-3790 • rel: (713) 430-6000 • fax: (713) 430-6590 <br />F:\CLIENTS W on\CYP RUS\POLIC I E S\7-1-98.cas\148-79.clg.doc <br />
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