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GENERAL55591
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GENERAL55591
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Entry Properties
Last modified
8/24/2016 8:40:35 PM
Creation date
11/23/2007 10:36:28 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
7/2/1990
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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ac~~i:u. <br />PRODUCER <br />SEDGWICK JRMES OF TN, INC. <br />P. O. BOX 19810 <br />KNOXVILLE,TN 37939 <br />(615)584-9101 <br />CODE SUbCODE <br />INSURED <br />CYPRUS MINERALS CO. <br />AND ITS SUBSIDIRRY CO. <br />P. 0. BOX 3^c99 <br />ENGLEWOOD,CO 80155 <br /> 4:;q <br />S III IIIIII I <br />~ <br />~ "r. ISSU ¢r6TrG0/J 3YJ) <br />IIIIII III <br />~ <br />~°. . -sin . . <br />' <br />. llWtws.,999 _ . _ __ , <br />THIS CERTIFI CATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />~~ EXTEND OR ALTER THE COVERAGE AFFORDED BV THE POLICIES BELOW <br /> <br /> COMPANIES AFFORDING COVERAGE <br />COMPANY <br />A R : NRT I ONRL UNION FIRE INS. CO. <br />LETTER <br />NV B : ~ ~ <br />~ ~ <br />B <br />ETTER 17 <br />L <br />f <br />NV C- I I I I <br />- --C• JUL ~ I!~u <br />, <br />LETTER .. <br />NY D _ ____D .... MINL:LJ ~HI'~L-. <br />LETTER <br />COMPANY E E : <br />I LETTER <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 BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INBUBANCE POLICY NUMBER <br />LTR POLICY EFFECTIVE POLICY E%PIRATION ALL LIMITS IN THOUSANDS <br /> DATE (MMIDD/YY) DATE (MM/DDIYY) <br />GENERAL LIABILITY GENERAL AGGREGATE f 4000 <br />[~' COMMERCIAL GENERAL LIABILITY PRODUCTS~COMPIOPS AGGREGATE f 2Q100 <br />CM CLAIMS MADE OCCUR. PERSONAL d ADVERTISING INJURY f 2000 <br />(~ [,'P]WNER'3 dCONTRACTOR'S PROT. RMGLCM^c498446 07/01/90 07/01 /9 ~AOH OCCURRENCE f 2000 <br />X PRODUCT/VENDOR FIRE DAMAGE (Any onollre) s 2000 <br />X X CU MEDICAL E%PENSE (Any one person) f 0 <br />'AUTOMOBILE LIABILITY COMBINED <br />RAINY AUTO L'MGLE S 1 000 <br />ALL OWNED AUTOS ODILY <br />B <br /> ~ <br />N <br />S <br />/ J <br />R SCHEDULED AUTOS RMCR5629436 peleon) <br />07/01/90 07/01 /9]Per <br />0 <br />HIRED AUTOS BODILY <br /> <br />NON~OWNED AUTOS INJURY S <br />(Per accitlenq 0 <br />GARAGE LIABILITY <br />PROPERTY <br /> S <br />DAMAGE yA <br />E%CESS LIABILITY EACH AGGREGATE <br /> OCCURRENCE <br /> / / / / f S <br />OTHER THAN UMBRELLA FORM QI Q <br /> STATUTORY <br />WORKER'S COMPENSATION <br /> ' S 0 (EACH ACCIDENT) <br />AND <br /> / / / / S 0 (DISEASE-POLICY IIMITJ <br />EMPLOYERS' LIABILITY <br />0 <br /> S (DISEASE-EACH EMPLOYEI <br />OTHER <br /> / / / <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIClES/~/SPECIAL ITEMS AND OPERATIONS AT OAK CREEK, COLORADO <br />CYPRUS EMPIRE CORP., CYPRUS ORCHARD VRLLEY CORL CORP., TWENTYMILE COAL CO.- <br />INCL. PERMIT #C-82-056 & OP. RT 29515 ROUTT COUNTY RD. 27, OAF'. CREEK, CO, <br />COLORRDO VRMPR COAL CD. INCL. MINES 1. 2. 3. PERMIT C-84-062. C-81-071 <br />STATE OF COLORADO <br />MINE LRND RECLAMRTION DEPT. <br />1313 SHERMAN STREET <br />DENVER, CO 80203 <br />SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATI DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL _ppII DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, 9~UT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF ANV KIND_UPON THE COMPANY. ITS AGENTS OR 9ePl1ESENTATIVES. <br />AUTHORIZED REB71ESEM <br />
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