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iii iiiiiiiiniu iii <br />ass <br />(err#i~irAf~ ~~ ~uBUxAUrP <br />To: State of Colorado <br />Address: Mined Land Reclamation Div. <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <br />oats: July 29, 1994 <br />Re: <br />gU9~C~~Uf'~, <br />o`s~n~"%s/,, oI ~9g¢ <br />~~, . <br />ro ~ li., <br />~,~ JJ <br />This is to certify that the policies designated below are in force on the date borne by this Certificate. <br />NAME OF INSURED: CypiUS AmaX MmeialS Company eC al <br />91vii Bast Wiinerai e:ircle <br />Aadress: Englewood, CO 80112 <br />rYPE OF INSURANCE POLICY 1 POLICY PERI00 PODGY DYRSNALUEa <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />Claims Made, Retro Date: 4/1/94 04/01/95 $6,000,000 Product/Completed Operations <br />a) All States GL3197175 .AggregaL° <br />h) Texas GL3197127 $2,000,000 Personal and Advertising Injury <br /> $2,000.000 Earh Occurrence <br /> $?,000,000 Fire Darnage (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 CA1431816 04/Ol/95 <br />b) Texas CA1431815 <br />C) Workers' Compensation 0000404b06 04/01/94 - WC: Statutory <br />Employers Liability 09/01!94 EL: $2,000,000 Each Accident <br /> $2,000,000 Disease - Polrcy Limit <br /> $2,000,000 Disease -Each Employee <br />D) Excess Workers' Compensation EX-316 04/01/94 - Company's Limit of Indemnity Each <br /> 09/01/94 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 />Shoul any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail <br />days written notice to the above named certificate holder, but failur e to mail such notice shall impose no obligation or <br />liability of any kind upon the company, or upon this agency. <br /> 2000 Bering Dr., Suile 900 <br />INSURANCE COMPANV(IES) ISSUING COVERAGE: GafYi Houston, Texas 77057 <br /> <br />A) & B) National Union Fire Ins. Co. P.O. Box 36429 <br />Hnaslon, texas 772364429 <br />C) & D) Old Republic Insurance Company Phone: 713/7834640 <br />' <br /> Inl <br />1 Telu 166 283 or 166 284 <br /> 1 713/783-7241 <br />lay <br />i <br />v <br /> Authorized flepreuntative <br />168.6 11 <br />Et I-029 (Rev. 3/89) <br />