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GENERAL51955
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GENERAL51955
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Entry Properties
Last modified
8/24/2016 8:38:00 PM
Creation date
11/23/2007 7:15:25 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
7/6/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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- - - - - ~ FQO/r <br /> ~~~ <br />ISSUE DATE (MM/DD/YY) <br />AI:1/~:~~. CERTIFICATE OF INSURANCE ~~~ ~~~~~~~~~~~~~ <br /> 999 0 7 01 9 3 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ~ <br /> I <br />DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SEOGWICK JAMES OF TN, INC. POLICIES BELOW. <br />P. 0. BOX 19810 <br /> COMPANIES AFFORDING COVERAGE <br />KNOXVILLE,TN 37939 <br />(615)564-9101 L <br />OMERNYA A: OLO REPUBLIC INSURANCE CO. <br /> E <br /> COMPANY B: RE:;t~VE[; <br />LETTER B) <br />INSURED <br />CYPRUS MINERALS COMPANY COMPANY`. C: <br />ANO ITS SUBSIDIARY CO. LETTER JUL 06 ~199v ~ <br />P. 0. BOX 3299 COMPANY O: <br />D <br />ENGLEWOOD,CO 80155 LETTER <br /> Div1510nolrYUnela:;,,,(,euoyy <br /> COMPANY C E : I <br /> LETTER G <br />COVERAGES ~_-~~- _~~-~~~~_- ' <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 ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ' <br />CERTIFICATE MAY eE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~, <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE IMMIDDIVV) DATE (MMIDDIVY) <br />- <br />GENERAL LIABILITY _ GENERAL AGGREGATE E 0 <br />COMMERCIAL GENERAL LIABILITY PRODUCTS~COMPIOP AGG E 0 <br />CLAIMS MADE OCCUP. PERSONAL 8 ADV. INJURY 5 0 <br />OWNER'S 8 CONTRAC fOR'S PROT. / / / / EACH OCCURRENCE S <br /> FIRE DAMAGE (Any one lire) E 0 <br /> MED. E%PENSE IAny one person) 5 0 <br />AUTOMOBILE LIABILITY -- <br />COMBINED SINGLE E <br />ANY AUTO LIMIT <br />0 <br />ALL OWNED AU (OS BODILY INJURY <br />E <br />SCHEDULED AUTOS / / / / (Per Person) <br />B <br />HIRED AUTOS <br />BODILY INJURY E <br />NON~OWNED AUTOS IPer acn0enll 0 <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE S <br />_ <br />~ _ _ ____ _ _ __ __ ______ 0 <br />v <br />--- <br />E%CESS LIABILITY EACH OCCURRENCE S <br />0 <br />UMBRELLA FORM / / / / AGGREGATE 5 0 <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT 5 100,000 <br />AND <br />A 0C 00404606 07/01/93 07/01/94 DISEASE-POLICY LIMIT s 500,000 <br />EMPLOYERS' LIABILITY <br /> <br />--.. --.-~ <br />DISEASE-EACH EMPLOYEE E 100.000 <br />_____ _ __ _. ._._~_..~~_________._ <br />OTHER <br />A EXCESS W.C. EX316 07/01/93 07/01/94 STAT. XS OF SINN SI <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />SEE ATTACHED <br />EXCESS W.C. APPLIES TO COLORADO <br />CERTIFICATE HOLDER ~ CANCELLATION <br /> 7G14S@4NAC~IGR+X4lfR7Cx5CXCR2@R6LR7PR7F1E]~l~X4f}C9FRk~7~R7~R~S(ISC7C7LISC <br /> SX7~81%dt~XX4141RXR7lt}f1~RKxR9tQCkX~?t?I4tX~XEC}F9telfXk7FRXA"It9~]F1dtRX7A[X <br />STATE O F COLORADO Jpyp~~ggdRM:NR]C7FRR9(XkR7FR7tdd%RR5€~E1dR7R}PA9S4c9CIc4tRht5C <br />MINE LAND RECLAMATION O E P T . X1;x7c~+]FR 9{St~C X1C#3c,4~14tkMftId91QCX%XIkRR~t§C1PRX9€1LX~P,+X§l9C <br />1313 SHERMAN STREET, SUITE 215 <br /> <br />25.5 <br />2 <br />&!(~R:~4TX xL~Pk:Fic~~k~BRR $T1ty€]~t ~ <br />AUTHORIZED REP SENT E A ' <br />©ACORD CZO~RPORATION 1990 I <br />
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