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GENERAL51123
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Last modified
8/24/2016 8:37:32 PM
Creation date
11/23/2007 6:33:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
3/23/1992
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ICAT~ OF INSURANCE <br />PRODUCER <br />SEDGWICK .JAMES OF TN, INC. <br />P. 0. BOX 19610 <br />KNOXVILLE,TN 37939 <br />(615)584-9101 <br />INSURED <br />CYPRUS MINERALS CO. <br />AND ITS SUBSIDIARY CO. <br />P. 0. BOX 3299 <br />ENGLEWOOD,CO 80155 <br />_ III IIIIIIIIIIIIIIII <br />999 <br />(REVISED) '''"'"„ .... <br />,88UE DATE (MM/DD/YY) <br />03/19/92 <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />COMPANIES AFFORDING COVERAGE <br />COMPANY A: NATIONAL UNION FIRE INS. CO. <br />LETTER A I <br />COMPANY B ' H ~ 1 •~ ' <br />LETTER B <br />COMPANY C ' J n ~ ~ ~ ~ ~J <br />LETTER C n~ f ~ '~ <br />LETTERNY D °' Mir ~AR 2 3 1991 <br />E : R -- ~ Mined Lan <br />COMPANY ~I <br />LETTER E ~nl,.,` ^{inn ^.u . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />LTR DATE (MM/DDIYY) DATE (MM/DD/YY) <br />GENERAL LIABILITY GENERAL AGGREGATE S `~ tl tl W, YJ tl b <br />C COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. S Z r 0 0 0, 0 0 0 <br />C M CLAIMS MADE OCCUR. PERSONAL 8 ADV. INJURY 5 2, 0 0 0, 0 0 0 <br />A CP OWNER'S SCONTRACTOR'S PROT. RMGL3252826 07/01/91 07/01/92 EACH OCCURRENCE S2a000, 000 <br />X PRODUCT/VENDOR FIRE DAMAGEIAnyonellre) 52.000,000 <br />X X C U MED. E%PENSE IAny one person) s 0 <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />AA ANY AUTO LIMIT (1,000,000 <br />ALL OWNED AUTOS BODILY INJURY <br />A SCHEDULED AUTOS R M C A 14 2 7 7 5 6 0 7/ 01 / 91 0 7/ 01 / 9 2 (Per Person) s 0 <br />HIRED AUTOS BODILY INJURY <br />f <br />NON-OWNED AUTOS (Par eccltlenl) 0 <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE s 0 <br />E%CESS LIABILITY EACH OCCURRENCE s <br />UMBRELLA FORM / / I / AGGREGATE S 0 <br />OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION <br /> EACH ACCIDENT 5 0 <br />ANO / / / / 0 <br /> DISEASE-POLICY LIMIT S <br />EMPLOYERS' l1ABIlITY <br />0 <br /> DISEASE-EACH EMPLOYEE 5 <br />OTHER <br />/ / / / <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ANU VY~Kf1~1~lUIVS FY1~ UAK L.kLL+EIK, I.ULUttFU.AJ <br />CYPRUS EMPIRE CORP., CYPRUS ORCHARD VALLEY COAL CORP., TWENTYMILE COAL C0.- <br />INCL. PERMIT NC-82-056 & OP. AT 29515 ROUTT COUNTY RD. 27, OAK CREEK, CO, <br />COLORADO YAMPA COAL CO. INCL. MINES 1, 2, 3, PERMIT C-84-062, C-81-071 <br />, -./_.:.,E;.' ..x-T.1e~-.. rANCELLgYUJN t,ya,.>.T <br />STATE OF COLORADO <br />MINE LAND RECLAMATION ^EPT <br />1313 SHERMAN STREET <br />DENVER,CO 80203 <br />/SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRq~1~1N DATE THEREOF, THE ISSUING COMPANY WILL <br />MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANA' KIND yRON THE GOM PANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESiMTATIVE <br />
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