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GENERAL49331
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GENERAL49331
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Last modified
8/24/2016 8:28:01 PM
Creation date
11/23/2007 5:01:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984062
IBM Index Class Name
General Documents
Doc Date
3/29/1995
Doc Name
Certificate of Insurance
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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III IIIIIIIIIIIII III <br />{ <br />ATTACHMENT: <br />DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLESJSPECIAI. ITF.M5 <br />EXCESS W.C. APPLIES TO COLORADO <br />CYPRUS EMPIRE CORPORATION INCLUDING PERMIT '~1~*04tt3j CYPRUS ORCHARD <br />VALLEY COAL CORPORATION INCLUDING PERMIT ~1C~81.-0386 TWENTYMILE COAL <br />COMPANY -INCLUDING PERMTT 7~Lx$2-05'6 INCLUDING PISH CREEK TIPPLE AND <br />OPERATIONS AT 29515 ROUTT COUNTY ROAD, ff27, OAK CREEK, COLORADO, <br />COLORADO YAMPA COAL COMPANY INCLUDING MINES 1,2,3 PERMIT 1fC-84=062q <br />V/G81=0714 AND OPERATIONS AT OAK CREEK, COLORADO <br />CERTIFICATE CANCELLATION <br />Should any of the above described policies he changed andlor cancelled before the expiration date <br />thereof, the issuing company will mail 30 days written notice to the certificate holder named. <br />1 <br />Authorized Representative: <br />Date: .3 - a ~ - 9 S <br />,ten <br />
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