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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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r - ~~ <br />certificate of ~ttgur~uce <br /> <br />ro: State of Colorado Date: March 29, 1995 <br />APR <br />Address: Maned Land Reclamation D;v;s;on Re: See Attachment <br />~) ~ 1995 <br />1318 Sherman Street <br />~Iwslon <br />al ~.,,,,, <br />Denver, CO 80203 <br />, <br />mo d Gtu~~ <br />. <br />i;; <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 1VlineralS Company et al <br />9100 East rfit:eral Circle <br />Address: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY ~ POLICY PERI00 POLICY LIMITSIVAWES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />Claims Mede, Retro Date: 4!1/94 07/01/95 $6,000,000 Product/Completed Operations <br />a) All States GL3197125 Aggregate <br />b) Texas GL3197127 $2,000,000 Personal and Advertising injury <br /> $2,000,000 Each Occurrence <br /> $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: Stamtory <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 Employee <br />D) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />Other States C016 1 1 9-02 $2,000,000 Disease -Policy Limit <br /> :2,OOQ000 ^iset:::e. -Each Employee <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: $1,000,000 <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policy(ies) <br />numbered above and issued by companies listed below. <br />Should 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 certllicate 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 />SEVERAL LIABILITY NOTICE (LSW 1007) ~~~ <br />The subscribing insurers' obligations under contracts of insurance to <br />which they subscribe are several and not joint and are limited solely <br />to the extent of their individual subscriptions. The subscribing <br />insurers are not responsible for [he subscription of any co- <br />subscribing insurer who for any reason does not satisly all or parr of <br />its obligations <br />INSURANCE COMPANY(IES) ISSUING COVERAGE <br />A)B) National Union Fire Insurance Company Pittsburgh PA <br />C)D)E) Old Republic insurance Company <br />By <br />?000 Bering Dr.. Suite 900 <br />Houston, Texas 77057 <br />P.O. Box 3(129 <br />Houston, Texas 77236-6429 <br />Phone: 7131783-6640 <br />Telecopier 713/783-7241 <br />116-e.CI.C <br />
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