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GENERAL46299
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GENERAL46299
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Last modified
8/24/2016 8:17:51 PM
Creation date
11/23/2007 2:31:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
9/9/1994
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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~. = ~_ <br />~HPrfi~ItAt~ >a~ ~nSUrAnr.~ <br /> <br />Date: <br />To: Division of Minerals & Geology September 7, 1994 ~r-~r_ i"'= <br />Adores:: Department of Natural Resources Re: See Attachment <br />1313 Sherman St., Room 216 SEP 091994 <br />Denver, CO 80203 <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: Cyprus AmaX MirteralS Company et al 1nClUding SUbSldlary COmpanleS <br />9100 East Mineral Circle <br />Adore::: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY # POLICY PERI00 POLICY LIMITS/VALUES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />including Product/Vendor end 04/01/95 $6,000,000 Product/Completed Operations <br />XCU Coverage, Claims Made, GL3197125 Aggregate <br />Retro Date: 7/1/86 GL3197127 $2,000,000 Personal end Advertising Injury <br />a) All States $2,000,000 Each Occurrence <br />b) Texas $2,000,000 Fire Damage (Any One Fire) <br /> $ 10,000 Medical Expense (Any One <br /> Person) <br />B) Auto Liability 04/01/94 - $2,000,000 CSL Each Occurrence <br />a) All States CA 1431 B 16 04/01 /95 <br />b) Texas CA1431819 <br />C) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />California Only C016120-02 $2,000,000 Disease • Policy Limit <br /> $2,000,000 Disease -Each Employee <br />D) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/01/95 EL: $2,000,000 Each Accident <br />Other States C016116-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />E) Excess Workers' Compensation •F.X-335 09/Gl/94 - Company's Limit of Indemnity Each <br /> 09/Cl/95 Occurrence: Statutory <br /> Self Insured Retention: $1,000,000 <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policylies) <br />which numbered above and which issued by companies listed below. <br />INSURANCE COMPANYIIES) <br />ISSUING COVERAGE: <br />t <br />A)B) National Union Fire Ins. Co. <br />C)D)E) Old Republic Insurance Company <br />/ <br />ey <br />2000 Bering Dr., Suite 900 <br />Houston. Tczas 77057 <br />P.O. Boz 36429 <br />Houston, Tezas 77236-6429 <br />Phone: 713 / 783-6Cr40 <br />Telex 791 393 <br />Inl'I. Telex 166 283 or 166 284 <br />Telecopicr 713/783-7241 <br />~a <br />1468A.CLG <br />
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