GENERAL39672

• Permit No: C1982056
• IBM Index Class Name: General Documents
• Doc Date: 3/23/1992
• Doc Name: CERTIFICATE OF INSURANCE
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

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03/19/92
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PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
S E D G W I C K .] A M E S O F T N, I N C. POLICIES BELOW.
P. 0. B O X 1 9 8 10
KNOXVILLE,TN 37939 COMPANIES AFFORDING COVERAGE
[phone] A: OLD REPUBLIC INSURANCE CO.
COMPANY
A
LETTER
B '
COMPANY B
INSURED
CYPRUS MINERALS CO. LETTER ` -
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COMPANY D' , l~ ~
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AND ITS SUBSIDIARY CO. ~
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LETTER
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V L
V
P. 0. BOX 3299 D'
COMPANY
D
ENGLEWOOD,CO 80155 LETTER
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,IFIIS 4 3 199:
E :
COMPANY E
LETTER Mi

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LI STED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAV PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY E%PIRATION LIMITS
LTR DATE (MMIDDIVY) DATE (MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE 5
COMMERCIAL GENERAL LIABILITY PRODUCTS~COMPIOP AGG. S A
CLAIMS MADE OCCUR. PERSONAL 6 ADV. INJURY S 0
OWNER'S 8 CONTRACTOR'S PROT. / / / / EACH OCCURRENCE S 0
FIRE DAMAGE (Any one Ilre) 5 0
MED. E%PENSE (Any ona person) S 0
AUTOMOBILE LIABILITY COMBINED SINGLE
S
ANY AUTO IIMIT
0
ALL OWNED AUTOS BODILY INJURY
S
SCHEDULED AUTOS / / / / (Per person)
0
HIRED AUTOS BODILY INJURY
S
NON-OWNED AUTOS Par accltlent)
( A
GARAGE LIABILITY
PROPERTY DAMAGE S 0
E%CESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM I I l I AGGREGATE S 0
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT 5 1 , 000 r 000
A' AND 0000404604 07/01/91 07/01/92 pISEASE-POLICY LIMIT 51+000.000
EMPLOYERS' LIABILITY
DISEASE-EACH EMPLOYEE 5 1+ 0 0 0+ 0 0 0
OTHER
A EXCESS W.C. (1) EX266 07/01/91 07/01/92 STATUTORY
DESCRIPTION OF OPERATIONS/LOCATIONS/VEMICLE9/SPECIAL ITEM9
(1) EXCESS W.C. APPLIES T0: CO ,KY,PA,UT,AL,AZ,GA,ID,MT,MD,NM,IL,NJ
VT,NV,WV TWENTYMILE COAL CO., FOIDEL CREED MINE PERMIT NC-82-056, COLORADO
YAMPA COAL CO., MINE N3 PERMIT NC-84-062, MINES 162 & ECKMAN PARK 110-81-071
°'"_ ~ • ~. ~ ' CANCELLATfQN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
S T R T E O F C O L O R A D O EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL
MINE LAND R E C L A M A T I 0 N DEPT . MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE 70 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
1313 S H E R M A N STREET , SUITE 2 15
LIABILITY OF NY Kly UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
DENVER , C 0 8 0 2 0 3
AUTNORI%ED EPR NTATIVE
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