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GENERAL45700
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GENERAL45700
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Entry Properties
Last modified
8/24/2016 8:15:51 PM
Creation date
11/23/2007 2:02:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
7/5/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIII III <br />999 <br />~.~r#z~t~A#~ ~~ ~itSUrAnr~ ~ECEIVEp <br />JU( 51994 <br />Adera>s: Mined Land Reclamation Div. onto: tune 30, 199~4~t~='or)er~nncr,/~a~U.,,,, <br />1313 Sherman Street, Suite 215 y~`(ly <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 />CyprUS AmaX Minerals C.Ompany et a) <br />NAME OF INSURED: <br />910G East N,ineral Circle <br />Addreaa: Englewood, CO 80112 . <br />TYPE OF INSURANCE POLICY 1 POLICY PERI00 ~ POLICY DYntYVALUEb <br />A) Commercial General Liability - 04/Ol/9•i - $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 Each (kcurtence <br /> $2,000,000 Fire Damage (Any Qne Fire) <br /> $ IG,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' Compensation 0000404606 U4/Ol/94 - WC: Statutory <br />Employers' Liability 08/01/94 EL: $2,000,000 Each Aceidept <br />$2,000,000 Disease -Policy Limit <br />$2,000,0(!0 Disease -Each Employee <br />D) Excess Workers' Compensation E1C-316 04/01/94 - Company's Limit of Indemnity Each <br />08/01/94 Occurrence: Statutory <br />Self Insured Retention: $1,(x)0,000 <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 />Should~ny of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail <br />.5 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 COMPANY(IES) ISSUING COVERAGE: <br />A) & B) National Union Fire Ins. Co. <br />C:) & D) Old Republic Insurance Company <br />By <br />laca.cn <br />2000 Bcring Dr., Suitc 900 <br />Houston, Tcxas 77057 <br />P.O. Box 36429 <br />Houston, Teas 772366429 <br />Phone: 713/7836640 <br />Inl'1 Telu 166 28J or 166 284 <br />Tclecopier 713/763-7241 <br />E11-029 (Rev. 3/99) <br />
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