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GENERAL49331
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GENERAL49331
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Last modified
8/24/2016 8:28:01 PM
Creation date
11/23/2007 5:01:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
3/29/1995
Doc Name
Certificate of Insurance
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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<br />. ~ ~ertiffcate of ~Sr~gurance <br />~` ~~ ~=~iVFG <br />ro: State of Colorado Date: March 29, 1995 MAR •~ 1 x995 <br />Address: Mined Land Reclamation Div, ae: ~~%v/s; <br />1313 Sherman Street, Suite 215 0 °~ /al°'s ~ geology <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 M1nelalS COmpanY e[ al <br />9100 East Mineral Circle <br />addresa: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY I POLICY PERIOD POLICi LIMITS/VALUES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />Clttims Made, Retro Date: 411!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 09101!94 - WQ Statutory <br />Employers' Liability 04(01(95 EL: $2,000,000 Each Accident <br />California Only C016120-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease - Esch 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 C016119-02 $2,000,000 Disease -Policy Limit <br /> $9.000.DOD Dice-sc? - each F-mplpyer <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: $L,000,000 <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those pollcy(ies) <br />numbered above and issued by companies listed below. <br />Shoul ny 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 certificate holder, but failure tc 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 t00t) <br />2000 Bering 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 and are limited solely i,.r P.O. Box 36429 <br />to the extent of their individual subscriptions. The subscribing '~~ Houston, Texas 77236-6429 <br />insurers are not responsible for the Subscription Of any co- Phone: 7131763-6640 <br />subscribing insurer who for any reason does not satisfy all or part of Telecopier. 7137783-7241 <br />~m.uoc.....~.e.. <br />tts o Igattons. ~~ <br />INSURANCE COMPANY(IES) ISSUING COVERAGE: <br />A)B) National Union Fire Insurance Company Pittabwgh PA e l <br />C)D)E) Old Republic LvYUrance Company y <br />usc.cw <br />
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