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<br />Certificate of ~ingurance
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<br />To: State of Colorado Data: March 29, 1995
<br />Aadrae5: Mined Land Reclamation Division Ra: See Attachment APB' ;) :t jgg`
<br />1318 Sherman Street Uivls D ~
<br />Denver, CO 80203 ,,"°'~ ~ Go~,~. .
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<br />This is to certify that the policies designated below are In force on the date borne by this Certilicate.
<br />NAME OF INSURED: CypIVS AmaX lvlineral$ Company et al
<br />9100 Fast Pfineral Circlz
<br />°'d°rBSBt Englewood, CO 80112
<br />TYPE OF INSURANCE POLICY M POLICY PER100 POLICY LIMITS/VALUES
<br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate
<br />Claims Made, 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 /> Parson)
<br />B) Auto Liability 04/OLl94 - $2,000,000 CSL Each Occurrence
<br />a) All States CA1431816 07/01/95
<br />b) Texas CA1431819
<br />C) Workers' Compensation 09101!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!01194 - WC: Statutory
<br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident
<br />Other States C016] 19-02 $2,000,000 Disease -Policy Limit
<br /> W2,DOO,000 Ci.^.e::c:e. -Lech Employee
<br />E) Excess Workers' Compensatioo 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 Ilsted below.
<br />Should 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 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 t007)
<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 limned solely i... 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: 713/783-6640
<br />subscribing insurer who for any reason does not satisfy all or part of Telecopler: 713/783-7241
<br />its obligations.
<br />INSURANCE COMPANY(IES) ISSUING COVERAGE
<br />A)B) National Union Fire Insurance Company Pittsburgh PA 6
<br />C)D)E) Old Republic Insurance Company y
<br />uea.ctn
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