GENERAL54286

• Permit No: C1984062
• IBM Index Class Name: General Documents
• Doc Date: 6/29/1992
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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CERTIFICATE:OF 'INSURANC! ~~ I ~ ~~ ~ ~~ ~ ~~ ~~~~ ~~~ v ISSUE DATE (MM/OD/YY) ,
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
S E D GW I C K JAMES 0 F T N , I N C . POLICIES BELOW.
P. 0. BOX 19810
COMPANIES AFFORDING COVERAGE
KNOXVILLE,TN 37939
[phone] coMPANr A: NATIONAL UNION FIRE INS. CO.
LETTER A

INSURED COMPANY - ~ ~ ~ ~ 8~.~ ~ ~ ~ __... _. I
LETTER B 1 ` ~ ~
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CYPRUS NINERALS COMPANY - C:
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COMPANY
AND ITS SUBSIDIARY CO. LETTER C
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ENGLEWOOD,CO 80155 LETTER D ',
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COMPANY E E ~ :VII II@G :_.^.i !(„ I
LETTER I
COVERAGES . L~::S.". a!~_-,•.'""~:.X~!.`~E'**~"~t: _ -i:,:::. -_.:~~_~ v~ _ .. . _ .~. .... _.. , .. __._ _ _ .. _._.__..__._....i.~i,~,_ .......
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. ~
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. ,
CO TypE Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMIT9
LTR DATE (MM/DDIVV) DATE (MM/OD/VVI
GENERAL LIABILITY GENERAL AGGREGATE S A , 000 , 0 0 0
_. ~ ....
C COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGG. ~ f 2 , 000 , 0 00
rCN CLAIMS MADE 'OCCUR. PERSONAL 8 ADV. INJURY f 2 , 000 , OOO
A: CP OWNER'SBCONTRACTOR'S PROT. RMOL3260B2B 07/01/92 07/01/93 EACH OCCURRENCE f 2,000,0001
FIRE DAMAGE (Any one Ilrel f 2 , 00 0 , 0 0 0!
_X_ PRODUCT/VENDOR
X J( () U I MED. IXPENSE (Arty ane pereon) i 0
AUTOMOBILE LIABILITY I COMBINED SINGLE I
_AAANVAUTO LIMIT 3 1,000,0001
AlL OWNED AUTOS BODILY INJURY

A ^_ _scNEDULEOAUTOS
RNCA14287A4 07/01/92 07/01/93 (ParPSnonl 3
01
HIRED AUTOS
--~" BODILY INJURY
3 I
NON~OWNED AUTOS (Par accitlenU 0I
GARAGE LIABILITY I
.-.- PROPERTY DAMAGE 3
si
E%CE95 LIABILITY
UMBRELLA FORM ~
OTHER THAN UMBRELLA FORM
/
/
/
/ EACH OCCURRENCE
AGGREGATE 3
3 01
01
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT 3 Oi
AND
/
/
/
/ "-"
DISEASE-POLICY LIMIT
S
0
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE
S '
0:
OTNER
/ / / /
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/fPECIAL ITEMS AND OPERATIONS AT OAK CREIIC, COIARADO
CYPRUS EMPIRE CORP., CYPRUS ORCHARD VALLEY COAL CORP., TWENTYNILE COAL C0.-
INCL. PERMIT NC-82-056 6 OP. AT 29515 ROUTT COUNTY RD. 27, OAK CREEK, CO,
i CERTI_FICATE HOLDER _ ~_,____ _ ,_, CANCELLATION ~
~~ SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ,
E%PIRATION DATE THEREOF, THE ISSUING COMPANY WILLX~B~Q$'~
+ STATE OF COLORADO MAIL $0 DAYS WRITTEN NOTICE 70 THE CERTIFICATE HOLDER NAMED TO THE
MINE LAND RECLAMATION DEPT. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
1313 S H E R N A N STREET LIABILITY OF ANV KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. j
DENVER,CO 80203 - -
AUTNORRED REPRESENTATIVE
' ACORD 25-5 (7/90) ~aACORD CORPORATION 19901