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GENERAL52025
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GENERAL52025
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Entry Properties
Last modified
8/24/2016 8:38:03 PM
Creation date
11/23/2007 7:18:14 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
General Documents
Doc Date
9/14/1992
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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sw H6 V 1Jb_U__~ <br /> <br />189UE DATE (MM/OD/YY) <br />III IIIIIIIIIIIII III <br />a~/:/li.n. CERTIFICATE OF INSURANCE <br />-~r`-' 999 <br />_ 09 09 92 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br /> DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />SEDGWICK JAMES OF TN, INC. POLICIES BELOW. <br />P. 0. 80X 19810 COMPANIES AFFORDING COVERAGE <br />KNOXVILLE,TN 37939 <br />(615)564-9101 COMPANY A: NATIONAL UNION FIRE INS. CO. <br />A <br /> LETTER <br /> COMPANY B : <br />B <br />INSURED LETTER <br />I __ <br /> r <br />~~~ <br />~ <br />~ <br />~ <br />CYPRUS MINERALS COMPANY COMPANY^ C~ <br />9 <br />~• <br />.' . <br />y <br />AND ITS SUBSIDIARY CO. LETTER <br /> <br />P. 0. BOX 3299 D <br />COMPANY D: ~~ <br />41992 <br />1 <br />ENGLEWOOD,CO 80155 0 <br />LETTER D <br /> COMPANY E: ~~Y ~,~jll ~I+i~~ <br />E <br /> LETTER <br />- C \ <br />COVERAGES <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANC E AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION LIMIT9 <br />DATE (MM/DD/YY) DATE (MMIDDryV) <br />GENERAL LIABILITY GENERAL AGGREGATE f4 , 0 e 0, 0 0 0 <br />C COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGO f2 , e 0 0 , 0 00 <br />C M CLAIMS MADE OCCUR. PERSONAL 8 ADV. INJURY f2 , 0 0 0, 0 0 0 <br />A CP OWNER'S BCONTRACTOR'S PROT. RMG L32646Z8 07/01/92 07/01/93 EACH OCCURRENCE f2, 080,000 <br />X PRODUCT JVENDOR FIRE DAMAGE (Any ane llre) 52,000, 000 <br />X X C <) MED. E%PENSE (Any one person) f 0 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE <br />f <br />A A ANY AUTO LIMIT <br />l , 0 P1 0, 0 0 0 <br />ALL OWNED AUTOS <br />URY f <br />N <br />Pa~lc nl <br />A RMCA1428744 <br />SCHEDULED AUTOS n, <br />o <br />07/01/92 07/01/93 l <br />0 <br />HIRED AUTOS <br />BODILY INJURY <br />f <br />NON~OWNED AUTOS (Per eccleenl) <br />0 <br />GARAGE LIABILITY <br /> PROPERTY DAMAGE f 0 <br />E%CESS LIABILITY EACH OCCURRENCE f <br />UMBRELLA FORM I I I I AGGREGATE f 0 <br />OTHER THAN UMBRELLA FORM <br /> STATUTORY LIMITS <br />WORKER'S COMPENSATION 0 <br /> EACH ACCIDENT f <br />AND <br />DISEASE-POLICY LIMIT f 0 <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE f 0 <br />OTHER <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS <br />SEE ATTACHED <br />CERTIFICATE HOLDER CANCELLATION <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION i <br />1313 SHERMAN STREET <br />DENVER,CO 80203 <br /> <br />THORRED~f1EP BENTA i'~"- <br />,J <br />a ~, .-aa.- mACORD CORPORATION 1990 <br />
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