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GENERAL51741
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GENERAL51741
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Entry Properties
Last modified
8/24/2016 8:37:52 PM
Creation date
11/23/2007 7:04:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
11/27/1998
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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- III IIIIIIIIIIIIIIII <br />~. ~ 999 <br />~~ ~ertiffc~.te of ~1~~ur~r~cen ~ r <br />o Ruk Se vicar <br />TO: Division of Minerals & Geology <br />Department of Natual Res. <br />1313 Sherman St. Rm. 216 <br />Denver, CO 80203 <br />Assured: Cyprus Amax Minerals Company et al <br />9100 East Mineral Circle <br />Englewood, CO 80112 <br />Re: Attachment <br />Fax lo: <br />Tracey at Twentymile <br />RECEIVED <br />NOV 2 7 ; <br />DIV. OF MINERALS <br />8 GEOLOGY <br />ihls Is ro cerfiry mar me polbles ollnsurance Ilshxl below hewn been Issued ro me Insuretl nametl above for me pol/cy paned IrxLCaletl, norwlmsfendlnp eny <br />requlrernenr, term, orcandlfan of eny contract oromerdocurnenr wim respect ro whkh mis certipcare may be Issued or may perteln. The insurance enordeU by <br />me pdkres descrtbed hereon /a sub/ecr b ell me terms, exc/usbns entl contlinona of such pdkles. LIMre shown may here been reduced by peld clelms. <br />Type of Policy Policy Policy <br />Insurance No. Period LimitsNalues <br />A) Commercial General <br />Liability <br />RMGL6121972 07/01/98 - <br />07/01 /99 <br />$ 6,000,000 General Aggregate <br />$ 6,000,000 Products/Completed <br /> Operations Aggregate <br />$ 1,000,000 Personal and <br /> Advertising Injury <br />$ 1,000,000 Each Occurrence <br />$ 1,000,000 Fire Damage (Any One <br /> Fire) <br />$ 10,000 Medical Expense (Any <br /> One Person) <br />Insurance Company(ies) National Union Fire Insurance Company of Pittsburgh, PA <br />B) Auto Liability <br />RMCA3209148 07/01/98 - $ 2,000,000 CSL Each Occurrence <br />07/01/99 <br />Insurance Company(ies) National Union Fire Insurance Company of Pittsburgh, PA <br />C) Workers' Compensation OC-01611906 09/01/98 - WC: Statutory <br />Employers' Liability 09/01/99 EL: $1,000,000 Each Accident <br />$1,000,000 Disease -Policy Limit <br />$1,000,000 Disease -Each <br />Employee <br />Insurance Company(ies) Old Republic Insurance Co. <br />D) Excess Workers' EX358 09/Ot/98 - Statutory Excess of a Self Insured <br />Compensation 09/01/99 Retention: $1,000,000 any one <br />occurcence <br />Insurance Company(ies) Old Republic Insurance Co. <br />71te subscrtbing insurers' oWfgetrons under contracts o/ Insurance ro whkh may subscrtbe era several eM nor p/nr end ere 1/tetrad solely ro me extent d melt <br />Indlvklual subscrtptlons. the subscrtbirg Insurers ere not rasponslble for file subscdpfan of eny cosubscdblrp Insurer who for eny meson does tar setlsry ell ar <br />part ollfs obligetlorrs <br />This certificate is issued as a matter of in/ormation only end confers no rights upon the cedificale holder. This cenificele does not amend, emend er alter the <br />coverage aROrded by the poliry(es) shown hereon. Should any of Iha shove described policies he canceled belora the expiration dale thereof, thin egenry, on <br />heheM d the issuing company(iae), wille~eaamrb mail 60 daK written ndice to the shove named cenificate holder, hall <br />eery. <br />Aon Risk. I~ervices of Texas, Inc. <br />Date: November 17, 1998 By: t .` . ~~ <br />Ann Ri.rk Srrrir r.r of Tesvt, Int. <br />2000 Berin7{ Drive, Suice 900 • Housron, Texas 77057-3790 • tel: (7l ~) 490-6000 • fax: (713) 430-6590 <br />H.\CLIENTSWOn\CYPRUS\POLICIESLease &1-98\146-754.c1g dac <br />11/17/98 12:76 PM <br />
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