GENERAL54320

• Permit No: C1984062
• IBM Index Class Name: General Documents
• Doc Date: 9/3/1996
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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To: Division of Minerals Sr Geology Date: August 29, '1996
Address: Department of Natual Res. Ra, Attachment
1313 Sherman St. Rm. 216 Fax to:
Denver, CO 80203 Elizabeth at Twentymile ' ~ ~~ ~ 11i F. i
970-870-2753 Sf_P ~ :i
1,996
This is to certify that the policies designated below are In force on the date borne by this Certificate.
Cyprus ..max "~Ainerals Company et al !-„~.. I„ ,
NAMt: of 1NSUtaEO: 9100 East Mineral Circle
Englewood, CO 80112
Atldress:
TYPE OF INSURANCE POLICY I POLICY PERIOD POLICY LIMITS /VALUES
A) Commercial General RMGL1437605 07/01/96 - $ 6,000,000 General Aggregate
Liability -Claims Made 07/01/97 $ 6,000,000 Products/Completed
Retro Date 4/1 /94 Operations Aggregate
$ 1,000,000 Personal and Advertising
Injury
$ 1,000,000 Each Occurrence
$ 1,000,000 Fire Damage (Any One
Fire
$ 10,000 Me ical Expense (Any
One Person)
B) Auto Liability RMCA1438600 07/01/96 - $ 2,000,000 CSL Each Occurrence
07!01 /97
C) Workers' Compensation OC-01611904 09/01/96 - WC: Statutory
Employers' Liability 09/01/97 EL: $1,000,000 Each Accident
Other States $1,000,000 Disease -Policy Limit
$1,000,000 Disease -Each
Employee
D) Workers' Compensation
' OC-01690603 09/01/96 - WC: Statutory
Employers
Liability 09/01/97 EL: $1,000,000 Each Accident
Alaska $1,000,000 Disease -Policy Limit
$1,000,000 Disease -Each
Employee
E) Excess Workers' EX351 09/01/96 - Statutory Excess of a Self Insured
Compensation 09/01/97 Retention: $1,000,000 any one
occurrence
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NQ1t1GJf1fX9gtl6J(6UlD(dl6J(C(9d(OOKOq(t>01HNEiCAR1P.tOJtiOJtlN(XXX
The subscribing insurers' obligations under contracts of insurance to
which they subscribe are several and not joint and are limited solely to
the extent of their individual subscriptions. The subscribing insurers are
not responsible for the subscription of any co-subscribing insurer who
for any reason does not satisfy all or part of its obligations.
INSURANCE COMPANY(IES) ISSUING COVERAGE:
A)B) National Union Fire Insurance Company of Pittsburgh, PA
C)D)E) Old Republic Insurance Co.
Natural Retourrer
Group
Aan Rirk Serviref of Texas, Inr.
2000 Bering Drive, Suite 900 • Housron, Texas 77057-3790
tel: [phone] • (B00) 231-3252 • fax: [phone]
By S~Cys-Ke~.i ~ ~7~,~n,..,.../ -
1~&7a.CLG711
ANR-033L 1RM. T95)
SEVERAL LIABILITY NOTICE (LSW 1001) ~~ Aon Rirk Seruicet