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GENERAL44290
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GENERAL44290
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Entry Properties
Last modified
8/24/2016 8:13:03 PM
Creation date
11/23/2007 12:57:12 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
7/3/1995
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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iii iiiiiuiniiiiii <br />.. 999 <br />lL~~~t:l~C~~Y~~ .U~l ~xCS~~~XY~P RECHVED <br />JUL 0 3 1995 <br />To: Division of Minerals & Geology Date; June 30, 1995 Division of nnlnerals & Geology <br />Addrr:ea: Department of Natural Resources RB; See Attachment <br />1313 Sherman St., Room 216 <br />Denver, CO 80203 <br />This is to certify that the policies designated below are in force on the date borne by this Certificate <br />NAME OF INSURED: Cyprus Amax MmeraiS Company eC al mClUdmg SUbSidlary COmpaIUeS <br />9100 East Mineral Circle <br />Addr.se: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY ~ POLICY PERIOD POLICY LIMITS /VALUES <br />A) Commercial General Liability - 07/01/95 - S 6,000,000 General Aggregate <br />including Producr/Vendor and XC 07/01/96 $ 6,000,000 ProducUCompleted Operations <br />Coverage, Claims Made, Retro GL1212703 Aggregate <br />Date: 7/1/86 GL1212702 S 1,000,000 Personal and Advertising Injury <br />a) All States $ 1,000,000 Each Occurrence <br />b) Texas $ 1,000,000 Fire Damage (Any One Fire) <br /> $ 10,000 Medical Expense (Any One <br /> Person) <br />B) Auto Liability 07/01/95 - $2,000,000 CSL Each Occurrence <br />a) All States CAI351195 07/01/96 <br />b) Texas CA1351196 <br />C) Workers' Compensation 09/01!94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: 52,000,000 Each Accident <br />California Only C016120-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />D) Workers' Compensation 09!01194 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />Other States C016119-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />E) Excess Workers' Compensation EX-335 09101/94 - Company's Limit of Indemnity Each <br /> 09/01/95 Occurrence: Statutory <br /> Self Insured Retention: $1,000,000 <br />TNt]EJC]FiQDG1taCH7617[iGf~6N~ThA1~P7C317tYd5~87t~x,rv~xia~xIN121(IYaYlfDfr1t1s7txmx.yp~m~mmrm~xnv_ ewrx~x ~xp~j~7(}t <br />ntmop[eDed7BkoPAEXr1Dd]i56[9Ci~X7CAt0Ra0X <br />SKib14~Xik14~alS7lJbbi~e'~o'fi~~~~]i~eTl7re'ttTv~'k~E~47C~ <br />R9t7c <br />liability of any kind upon the company, or upon this agency. <br />SEVERAL LIABILITY NOTICE (LSW 1001) <br />The subscribing insurers' obligations under contracts of insurance to which they sub- <br />scribe are several and not joint and are limited solely to the extent of their individual <br />subscriptions. The subscribing insurers are not responsible for the subscription of any <br />co-subscribing insurer who for any reason does not satisfy all or part of its obligations. <br />INSURANCE COMPANY(IES) ISSUING COVERAGE: <br />A)B) National Union Fire Insurance Company of Pittsburgh PA <br />C)D)E) Old Republic Insurance Company BY <br />148-BA.CLG <br />Aox NATURAL RESOURCES Wottr.Dwroc <br />2000 Bering Dr.. Suire 900 <br />1 lV ~ ~~r - <br />Houston, Texas 77057 <br />~ P.O. Box 36429 <br />- Houston. Texas 77236-6429 <br />Phone: 713l7S3-6640 <br />Telecopier: 713!!83-7241 <br />ANR~p2a (Rev. N951 <br />
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