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GENERAL53298
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GENERAL53298
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Entry Properties
Last modified
8/24/2016 8:38:53 PM
Creation date
11/23/2007 8:29:37 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
8/5/1996
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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!H <br />~8~~'t~t~~X~P D"~ <br />ro: Division of Minerals 8 Geology <br />Address: Department of Natual Res. <br />1313 Sherman St. Rm. 216 <br />Denver, CO 80203 <br />iii iinininiiiiii <br />{~ ~ t y~ 999 <br />;L73,1-L~~IL~Q <br />Dete:August 1, 1996 Q~~r=~~ED <br />Re: Attachment <br />AUG ~ 5 1996 <br />rjiv~.mn o' :h'~^oralt e. G,cclcG; <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />Cyprus Amax Minerals Company et al <br />NAME OF INSURED: 91 ~0 EBSt Mineral CIlCIe <br />Englewood, CO 80112 <br />Address: <br />TYPE OF INSURANOE POLICY 1 POLICY PERIOD POLICY LIMITS /VALUES <br />A) Commercial General RMGL1437605 07/01/96 - $ 6,000,000 General Aggregate <br />Liability -Claims Made 07/01/97 $ 6,000,000 Products/Completed <br />ti <br />t <br />O <br />A <br />Retro Date 4!1!94 gggrega <br />e <br />pera <br />ons <br /> $ 1,000,000 Personal and Advertising <br /> Injury <br /> $ 1,000,000 Each Occurrence <br /> $ 1,000,000 Fire Damage (Any One <br /> Fire <br />$ 10,000 Me ical Expense (Any <br /> One Person) <br />B) Auto Liability RMCA1438600 07/01/96 - $ 2,000,000 CSL Each Occurrence <br /> 07/01 /97 <br />C) Workers' Compensation <br />' 09/01/95 - WC: Statutory <br />id <br />t <br />0 <br />000 E <br />h A <br />Employers <br />Liability 09/01/96 ac <br />EL: $1,00 <br />, <br />cc <br />en <br />Other States OC-01611903 $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />D) Workers' Compensation OC-01611603 09/01/95 - WC: Statutory <br />Employers' Liability 09!01/96 EL: $1,000,000 Each Accident <br />(Amax Gold) CA/SC $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />E) Workers' Compensation OC-01690602 09/01/95 - WC: Statutory <br />Employers' Liability 09/01/96 EL: $1,000,000 Each Accident <br />(Amax Gold) Alaska $1,000,000 Disease -Policy Limit <br /> $1,000,000 Disease -Each <br /> Employee <br />F) Excess Workers' EX342 09/01/95 - Statutory Excess of a Self Insured <br />Compensation 09!01196 Retention: $1,000,000 any one <br /> occurrence <br />This certificate voids and superse es certificate date July 2, 1996. evised deleting Cyprus Orchard Valley Coal <br />permit. <br />SEVERAL LIABILITY NOTICE (LSW 1001) <br />The subscribing insurers' obligations under contracts of insurance to which they sub- <br />scribe are several and not joint and are limited solely to the extent of their individual <br />subscriptions. The subscribing insurers ere not responsible for the subscription of any <br />co-subscribing insurer who for any reason does not satisfy all or part of its obligations. <br />INSURANCE COMPANY(IES) ISSUING COVERAGE: <br />A)B) National Union Fire Insurance Company of Pittsburgh, PA <br />C)D)E)F) Old Republic Insurance Co. <br />By <br />AON NATURAL RESOURCES WORLDWIDE <br />2000 Bering Dr., Suitt 900 <br />Houston. Texas 77057 <br />- ~ ~ PO. Box 36129 <br />-- - Houston, Texas 77?366429 <br />Phon<. 713//836640 <br />Tclecopier'. 713ri83-724{ <br /> <br />r4&79.CLG6r <br />ANR-p2~ tPgv 6/951 <br />
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