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GENERAL53292
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GENERAL53292
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Entry Properties
Last modified
8/24/2016 8:38:53 PM
Creation date
11/23/2007 8:29:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
General Documents
Doc Date
6/26/1991
Doc Name
CERTIFICATE OF INSURANCE
Permit Index Doc Type
INSURANCE
Media Type
D
Archive
No
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'I ~ III I II I II I II IIII III IATE (MM/DDIVY <br />a~.~~i,u <br />CERTIFICA~ OF INSURANCE <br />' <br />. , <br />p ~ ~yy~ <br />I .VUY.-e9.'+"V ~'~YfiliRid"ib. J..--au-Y!'_'W..~~4i~W~q ^;;. ~_ ~ 999 _- `~„ 1 <br />.-.C /.~ <br />':~.[v ~~~ ~i~ <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br /> CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE <br />SEDGW I CN <br />TAMES OF TN INC DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />. . <br />. POLICIES BELOW. <br />P. 0. POX 19010 I <br /> <br />N.NOXVILLE, TN ,'7939 COMPANIES AFFORDING COVERAGE <br />~ _ _ __ <br />t61~?S8u-9101 A: NATIONAL UNION FIRE INS. CO. <br />COMPANY <br /> A <br />LETTER <br />-....._-______ ___ ___ COMPANY B P' <br />INSURED LETTER <br />CYPRUS MINERALS CO. <br />AND ITS SUPSIDIRRY CO. COMPANY C' I' r+, <br />LETTER C REC~~ Fs~!_li t <br />P. O. POX 3299 coMPANY D D . <br />ENGLEWOOD, CO 8Q11JJ LETTER <br />' COMPANY E;-------- JUN-2-:,--~`~-,------ <br />LETTER E <br />COVERAGES `4.:u.. -AwTeva' r:n^^:_. x.:..::'8,5:-c3F. -kr''~y'~'r'tL~syl:'.'". ".r'"_~'~ ~ t. ~.': ; _. 77,,,~"wrri~~~YiN._,.ICU. L~IFIC1.s' , <br />THIS IS 70 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED~A~OY'BTt~QHEI Y <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH AESPECTTW 1 <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />E%CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE I POLICY NUMBER 'POLICY EFFECTIVE POLICY E%PIRATIOW LIMIT9 <br />LTR: '~ ;DATE (MMIDD/VV) GATE (MM/DD/YV) <br />OENERAI LIABILITY <br />' GENERAL AGGREGATE 'f `+, ~I VJ Ip, L/II[V.- <br /> <br />C COMMERCIAL GENE <br />: <br />RA <br />L <br />IABILITY <br />L <br />~ I <br />~ PRODUCiS~COMPlOP AGO. Q100-0~[~!: <br />S r-1 1 <br />_.~ <br />~ <br />- <br />'~ <br />; <br />~ CLAIMS MADEI ~OCCUR.• ! PERSONALBADV.IW URV f ~f~a~l ~~'- <br />L <br />A CP OWNER'S SCONTRACTOR'S PROT' RMGL3:5G826 07~01~91 07/01 X92 EACH OCCURRENCE -f ~1 ~~~, ~k1!' <br />~,~ PRODUCTI VENDOR FIRE DAMAGE (Any one llre) f c, ~~~ 01~k <br />X X C U MED. EXPENSE (Any pna penonl f <br />AUTOtlOBILE LIABILITY i I COMBINED SINGLE <br />~ <br />~ f <br />I AAANV AUTO ~ LIMIT 1 ~ QI(7J~, QI QI Q: <br />BALL OWNED AUTOS ~ BODILY INJURY <br />A SCHEDULED AUTOS RMCA144°77J6 07/01/91 07/01/92 leerpereonl .° :? <br />-MIRED AUTOS BODILY INJURY ` <br />f <br />' <br />NON~OWNED AUTOS (Per ecclEanQ !( <br />GARAGE LIABILITY <br />-- ~ PROPERTY DAMAGE :t ~. <br />E%CESS LIABILITY <br />'~ UMBRELU FORM ~ <br />•~OTHER THAN UMBRELLA FORM <br />~ <br />~ <br />~ <br />~ EACH OCCURRENCE : S ~" <br />AGGREGATE ~3 <br /> ' STATUTORY LIMITS <br />WOR%EW9 COMPENSATION -. --- -- --- <br /> L; <br />EACH ACCIDENT S - <br />AND ~ ~ ~ ~ ~ ~ <br /> DISEASE-POLICY LIMIT ~ t <br />'- <br />EMPLOYERS' LIABILITY ~ <br />' ~ _ --" "- -'---- - -- <br />/'~• <br /> DISEASE-EACH EMPLOYEE • S <br />OTHER <br />I <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEN9 <br />RE: FISH CREEK TIPPLE - PERMIT #C81036 <br />STRTF_ OF r_OLORADO <br />MINE LAND RECLAMATION DEPARTMENT <br />1.13 SHERMAN STREET <br />DENVF_R,CO 80203 <br />.nn..cr.~n.A.vn rt~!'Fi s_.r+a^eeJi~M~r:~.~ .,. ..,~-sa.sl~-a^n~_. ~.s~...cv _ . <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />E%PIRA~ QN DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />MAIL _ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE <br />LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR <br />LIABILITY OF AN~K1N0 UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPgE9EMTATIVE ! <br />,, <br />C~ .- <br />.~ - <br />ACORD25-S (7190) .. ..,:, ~,..,. .. ,: ~ ;,..,.,...~... .;. ~ .. ... ..,;..,.,.-., -. .._. Ye _ ~' <br />4 <br />aPGB/tTION 1990 <br />
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