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PERMFILE119825
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PERMFILE119825
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Entry Properties
Last modified
8/24/2016 10:18:48 PM
Creation date
11/25/2007 7:45:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
Permit File
Doc Date
12/11/2001
Section_Exhibit Name
Volume 9A - INSURANCE
Media Type
D
Archive
No
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<br /> <br /> <br /> <br />~ C'~~ ISSUE DATE (MM/DD/YY) <br />~,;,,'," <br />~ ~ d <br />NS ~ 'E <br />©F <br />' <br />- <br />~~ ~ s <br />. <br />: 0 7 01 9 3 ' <br />J <br />PROOUCER 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. BOX 19810 <br />COMPANIES AFFORDING COVERAGE <br />KNOXVILLE,TN 3793 <br />(615)584-9101 COMPANY A: OLD REPUBLIC INSURANCE CO. <br />A <br />+ <br />LETTER ~ <br />LETTERNY B B- TT F ~ <br />I V F~ 1 <br />~ L <br />INSURED <br />CYPRUS MINERALS COMPANY COMPANY c: <br />C <br /> <br />AND ITS SUBSIDIARY CO. LETTER <br />JUL 06 11993 <br />P- 0. ROX 3299 COMPANYD D: <br />ENGLEWOOD,CO 80155 LETTER <br />DiVISIDn GI ~~711iBid15 a U60ipyY <br />COMPANY E E ; <br />LETTER <br />•COVERAGES <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 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 INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br />LTR GATE (MM/DD/YV) DATE (MM/DD/YY) <br />GENERAL LIABILITY GENERAL AGGREGATE S 0 <br />COMMERCIAL GENERAL LIABILITY PRODUCTS~COMP/OP AGG. t 0 <br />'CLAIMS MADE OCCUR. PERSONAL 8 ADV. INJURY S 0 <br />.OWNER'S 8 CONTRACTOR'S PROT, / / / / EACH OCCURRENCE S 0 <br />FIRE DAMAGE (Any one Ilre) S 0 <br />MED. EXPENSE (AnY one penonl S <br />AUTOMOBILE LIABILITY COMBINED SINGLE <br />S <br />ANV AUTO LIMIT <br />0 <br />ALL OWNED AUTOS BODILY INJURY <br />f <br />SCHEDULED AUTOS / / / / (Per person) <br />0 <br />HIRED AUTOS <br />BODILY INJURY S ! <br />NON-OWNED AUTOS (Par ecci0anl) 0 I <br />GARAGE LIABILITY <br />PROPERTY DAMAGE S <br />I 0 <br />E%CESS LIABILITY ~ EACH OCCURRENCE S 0 <br />I-~ UMBRELLA FORM ~ / / / / AGGREGATE S 8 <br />~ OTHER THAN UMBRELU FORM <br />STATUTORY LIMITS <br />WORKER'S COMPENSATION <br />EACH ACCIDENT S 1 0 0, 0 0 0 <br />AND <br />A 0000404606 07/01/93 07/01/94 DISEASE-POLICY LIMIT f 500,000 <br />EMPLOYERS' LIABILITY <br />DISEASE-EACH EMPLOYEE f B 08 <br />OTHER <br />A EXCESS W.C. EX316 07/01/93 07/01/94 STAT. XS OF E1MM S I <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE$/SPECIAL ITEMS <br />SEE ATTACHED <br />EXCESS W.C. APPLIES TO COLORADO <br />CERTIFICATE HOLDER CANCELLATION <br />76%7i6m9C~R+XA7{7C~(QCFI{4~R1@R R~X7C7L4C <br />Y.X41pd~[A9CJ~9dR X~}QdFXB1(R5IXx1CX <br />STATE OF COLORADO ~~C~l4C <br />MINE LAND RECLAMATION DEPT. ~~~,~~ <br />1313 SHERMAN STREET, SUITE 215 ~ i <br />DENVER, CO 80283 <br />AUTHORIZED REP SENT E ,~ <br />) <br />n <br />1 <br />/ <br />/// <br />//te <br />' <br /> <br />ACORD~25-5:(7/90) ~~ ®ACORD CORPORATION 1990 <br />
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