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GENERAL47377
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GENERAL47377
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Entry Properties
Last modified
8/24/2016 8:22:24 PM
Creation date
11/23/2007 3:25:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
3/29/1995
Doc Name
Certficate of Insurance
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />certificate of ~lttgur~ttce RF~E~~~o <br />MAR 31 1995 <br />ro: Division of Minerals & Geology Date: March 29, 1995 <br />Addresa: Department of Natural Resources Re: See A[tachment (!ivlsipn ul ~Ynnelals ~ Geology <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 MlfleralS Company e[ a] InClUding SUbSlrilary COmpanleS <br />9100 East Mineral Circle <br />Aadreas: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY r POLICY PER100 POLICY LIMITS/VALUES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />including Product/Vendor and 07/01/95 $6,000,000 Product/Completed Operations <br />XCU Coverage, Claims Made, GL3197125 Aggregate <br />Retro Date: 7/1/86 GL3197127 $2,000,000 Personal and Advertising Injury <br />a) All States $2,000,000 Each Occurrence <br />b) Texas $2,000,000 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 07/01/95 <br />b) Texas CA1431819 <br />C) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />California Only C016120-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employce <br />D) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />Other States CO16119-02 $?,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employce <br />E) Excess Workers' Compensation EX-335 09/01/94 - Company's Limit of Indemnity Each <br /> 09/01/95 Occurrence: Statutory <br /> Self Insured Retention: $],000,000 <br />Rbtx xaau'xer~a aoxebaumaaarecxa~ttsax xixixm:<mm-fSxzretxse~9xwaaxpcaoxarcraslcxucatrmtirrxattwxsttexrxzx®ragatataarelalaxl~Cxnesatprox~ttcyc <br />~ta4t~[ft~tx~k~catlt~c~xx~Gxgox~iax4talmxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx <br />Slxotitd:aogxodxttat abtovxxbesaQitxadX'oiiadax~e[saupa~;e~ltscQ ~ledlaooaAaxxPolatnat[xfat~akemea0Ud7acsst16~9ta~cs~Cgt~wttltacmwxtv~zaalbc <br />i i l y o aniy IndYtkp~iD(ky~Rt~>?RPa~yt, o~4tup~lo~n Ifils,.a~~~x~'R~1~~Crx$kk~5t'f~R~'~C7(JP~'fr~;$~t~k;~C~f'Qx9f~'Q~E~[Q'X <br />SEVERAL LIABILITY NOTICE (LSW 1001) <br />2000 Benng Dr., Suite 900 <br />The subscribing insurers' obligations under contracts of insurance to .. Houston, Texas 77057 <br />which they subscribe are several and not joint antl are limited solely ~„~ P.U. Box 36429 <br />to the extent of their individual subscriptions. The subscribing "~~ Houston. 1-exas 77236-6429 <br />Insurers are not responsible for the subscription of any co- Phone: 7131783-664D <br />subscribing insurer who for any reason does not satisfy all or part of Telecopier. 713/783-7241 <br />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 sy <br />l4&fiA.Cl4 <br />
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