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GENERAL31027
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GENERAL31027
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Last modified
8/24/2016 7:48:25 PM
Creation date
11/23/2007 6:51:41 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
9/14/1992
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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REVISED IIIIIIIIIIII <br />~a1:11~.n. CERTIFICATE OF INSURANCE III III' 999 193UE DATE (MM/DD/YY) <br />__ ._. __ _ .. - 09 09 92 <br />PRODUCER 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 COMPANIES AFFORDING COVERAGE <br />KNOXVILLE,TN 37939 _" ._. _ ," , <br />(615)584-9101 COMPANY A: NATIONAL UNION FIRE INS. CO. <br />A <br /> LETTER <br />_ COMPANY B : <br />INSURED LETTER }n-( r~... i ," <br />~~ <br />'t <br />~ <br />` <br />CYPRUS MINERALS COMPANY C: ~ S <br />l~ <br />~ <br />. <br />Y <br />ANO ITS SUBSIDIARY CO. <br />LETTER <br />C ~ ~-~ <br />P. 0. BOX 3299 COMPANY <br />D: SEP <br />~ egg <br />ENGLEWOOD,CO 80155 D <br />~ <br />LETTER <br /> COMPANY E E : ,:I\: ; ;:, ~I: <br /> LETTER ~ I , -^ r. i •] <br />_COVERAGES~;osisfG~4:i•.A:si.'w~ <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 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 BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICY NUMBER <br />LTq POLICY EFFECTIVE POLICY E%PIRATION LIMITS <br />DATE (MM/00/YY) GATE (MM/DD/Y1') <br />GENERAL LIABILITY GENERAL AGGREGATE f4 , 0 0 A, 0 0 A <br />C COMMERCIAL GENERAL LIABILITY PRODUCTSCOMP/OP AGG. S2 , 0 0 8, 0 0 0 <br />C M CLAIMS MADE OCCUR. PERSONAL 6 ADV. INJURY Yj ~ 0 e 0, 0 0 0 <br />A CP-OWNER'SACONTRACTOR'S PROT. RMGL3264626 97~01~92 07/01/93 EACH OCCURRENCE 52,000,000 <br />X PRODUCT VENDOR FIRE DAMAGE (Any ona llre) 52,000,000 <br />X X C <) MED. IXPENSE fMy ons psronl S 0 <br />AUTOMOBILE LIABILITY COMBINED SINGLE ~ <br />5 <br />Aq ANY AUTO LIMIT _ <br />1,000,000 <br />ALL OWNED AUTOS BODILY INJURY <br />5 <br />j <br />A SCHEDULED AUTOS RMCA1428744 07/01/92 07/01/93 (Per Parson) <br />0 <br />HIRED AUTOS <br />_ ~ <br />BODILY INJURY <br />5 <br />NON~OWNED AUTOS (Per ecneentl <br />g <br />GARAGE LIABILITY ' <br />--- PROPERTY DAMAGE f 0 <br />I <br />E%CE49 l1ABILITY EACH OCCURRENCE S i <br />UMBRELLA FORM ~ ~ ~ ~ AGGREGATE S 0 <br />OTHER THAN UMBRELLA FORM <br />WORKER'S COMPENSATION STATUTORY LIMITS <br /> EACH ACCIDENT 5 0 <br />AND DISEASE-POLICY LIMIT S 0 <br />EMPLOYERS' l1ABILITY """" <br />DISEASE-EACH EMPLOYEE S 0 <br />OTNER <br /> I <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS <br />SEE ATTACHED <br />CERTIFICATE HOLDER. ~,: ., CANCELLATION <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />1313 SHERMgN STREET <br />i <br />utNVtH,LU adzd~ <br />~~. ~~~r <br />ACORD 25.517/BOj~ <br />
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