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GENERAL30890
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GENERAL30890
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Entry Properties
Last modified
8/24/2016 7:48:19 PM
Creation date
11/23/2007 6:49:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
7/6/1993
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~, (rne"fiY <br />iiClalla: <br />- . F i4 1 S ro 3 ~. <br />NCE ~~~ ~~~~~~~~~~~~~ ~~~ IssuE <br />. O 6 / 2 2 <br />PRODUCER . ~ THIS CERTIFICAT.. .a IasUED 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 37939 <br />(615)584-9101 COMPANY A: NATIONAL UNION FIRE INS. CO. <br /> LETTER A <br />~~ - NY B R <br />'NfORED LETTER <br />RECEIVED <br />CYPRUS MINERALS COMPANY coMPANV C <br />AND ITS SUBSIDIARY CO. LETTER C <br />P. 0. BOX 3299 o: JUL 061993 <br /> COMPANY <br />D <br />ENGLEWOOD,CO 80155 LETTER <br /> COMPANY E E ° DivislOn Oi N11U21dL`, a heuloyy <br /> LETTER <br />k`(1VFRA!`FC6"~L{Fa~'dr s+"ja r~' ~ E / ..'j < r~^. `A~{:a r x iE.~_ r, r Y.Fi. <br />~- ._.~..75_~_., ~ Wb .~. :_~. .., .....a?-r.•:r.~f~4 .._-r _.~_.. be ~~~s;.*>..i.-.~ /..ail". r~~... . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 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 MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV 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 <br />LTR' ~ POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE (MM/DD/YY) DATE (MM/DD/YY) <br />'~. GENERAL LIABILITY ' GENERAL AGGREGATE ' f 4, 0 0 0, 0 0 0 <br />~'~ C 1 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG ~~ 5 2, 0 0 0, 0 0 0 <br /> <br />I~ C M I CLAIMS MAOEi OCCUR. <br />~l_ __.__ _ ..... <br />PERSONAL 6 ADV. INJURY 5 2, 0 0 0, 0 0 0 <br />_. __._. ____ - <br />-_-_ <br />A iCP~OWNER'SALONTRAGTOR'S PROT.~ RMGL17S9461 i <br />07/01/93 07/01/94 EACH OCCURRENCE !52,000,000 <br />IX PRODUCT/VENDOR ~ ~;. FUiEDAMAGE(My°narral ';s2,000,000 <br />rX ..X C U ._ - _ ~. ..... - ~ MED. EXPENSE (My me Pamn). f 0 <br />! AUTOMOBILE LIABILITY <br />~~-_ ~ ~ COMBINED SINGLE <br />~ <br />f <br /> <br />;AA~ANrAUro <br />~- 'LIMIT <br />'. ~ <br />1,000,000 <br />------ <br />j_~ALL OWNED AUTOS ~ ~ BODILY INJURY <br />s <br />A: ;scHEDULEOAUros RMCA1431101 07/01/93 07/01/941(PBfpBfSO") <br />0 <br />-- - _._ _...---.....: <br />___... -- ..._ <br />1 HIRED AUTOS ;BODILY INJURY <br />s <br />' ~; NON-0WNED AUTOS ' (Par accitlenp 0 <br />-_-1 GARAGE LIABILITY _ __.____. __._._ _.--._. <br />---~ ! 'PROPERTY DAMAGE ' f 0 <br />i E%CESS LIABILITY I ~ I EACH OCCURRENCE ', f 0 <br />UMBRELLA FORM / / ~ / / !AGGREGATE ~ S 0 <br />jOTHER THAN UMRRELLA FORM ' <br />: ~ <br />WORKER'S COMPENSATION ~ STATUTORY LIMITS <br />- .. <br /> EACH ACCIDENT f 0 <br />AND .__. _ ._. ... ._. _ <br />/ / / / DISEASE-POLICY LIMIT S 0 <br />EMPLOYERS' LIABILITY ""'-"""""""" <br />DISEASE-EACH EMPLOYEE•f 0 <br />OTNER <br /> / / / / <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITENS <br />SEE ATTACHED <br />'LCER,T,~IFI"CA7.E~HO~ER~+'r,;;~;;1 ~, ~?':,'r~r"* ~,~, ':. :CANCELLATION ~.`:~~ti __'~arurr_g„,- rnL~ '.i <br /> ~7)OULA ]G7IN4®S.LOtOC3l~XOFEE <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION 7f ~ <br />1313 SHERMAN STREET ~ ~~~ <br />DENVER,CO 80203 ~ ~~ <br /> AUTNORI ESENTATIVE <br />~ ' <br />' <br />' <br />r <br />` <br />" <br />~ <br />CORD~2~j(7,/90) } <br />a.!h' _~u`+- } ti ?~ <br />A ORDiCORP_ORA O 990 <br />. ~~~.. <br />,~': <br />, e ~ <br />, `~ ;. • <br />; <br />
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