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GENERAL56460
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GENERAL56460
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Entry Properties
Last modified
8/24/2016 8:40:51 PM
Creation date
11/23/2007 11:29:10 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
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 />~PCfI~ILAfP II~ ~2t81IZAItt'E <br />iii ii~iiiiiiiiiiiii <br />ro: Division of Minerals & Geology Date; September 7, 1994 <br />Aadress~. Department of Natural Resources Re'~ See Attachment <br />1313 Sherman St., Room 216 5EP Q;~ 199 <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 MinetalS Company et al 1nClllding SLLbSldlary COmpanleS <br />9100 Fast Mineral Circle <br />Addres:: Englewood, CO 80112 <br />TYPE OF INSURANCE POLICY 9 POLICY PERIOD POUCV VMITS/VALUES <br />A) Commercial General Liability - 04/01/94 - $6,000,000 General Aggregate <br />including ProductNendor aad 04/01/95 $6,000,000 Product/Completed Operations <br />XCU Coverage, Claims Made, GL3197125 .Aggregate <br />ReVo Date: 7/1/86 GL3197127 $2,000,000 Personal and Advertising Injury <br />a) All States $2,000,000 Each Occturence <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 CA1431816 04/01/95 <br />b) Texas CA1431819 <br />C) Workers' Compensation 09/01/94 - WQ 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 /> I $2,000,000 Disease -Each Employee <br />D) Workers' Compensation 09/01/94 - WC: Statutory <br />Employers' Liability 09/O1I95 EL: $2,000,000 Each Accident <br />Other States COIt5116-02 $2,000,000 Disease -Policy Limit <br /> $2,000,000 Disease -Each Employee <br />E) Excess Workers' Compensation •F.X-335 09/G1/94 - Company's Limit of Indemnity Each <br /> 09/Cl/95 Occurrence: Statutory <br /> Self insured Retention: $1,000,000 <br />This certificate of insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by those policyliesl <br />which numbered above and which issued by companies listed below. <br />~t~f>lExdb'bb~b~si7SrYdt+tE,~4~41E~5i~2EYi~~Fb~eK~~#~i1;d4l~,~H5~4#7~,~FK~1S3C3S74~4~i4~F~~6l+iF~74~e'S"r~K <br />xxxxxxxxxxxaxglClWfl~Xxol~xxdtxx~,grii~J6~F75xi68xsXa(x7fcEfWtx>Sdtax~ilEx7GxlExiHtxaSxXdtdWFx~FiiEx~r~GXx,~76'F76`~x 7yXt'WidtxX <br />#XX'£il5tltlt9t'T~k'kR![;t~x9P~f9a7lrRk x<iFkjPRk21$Yt~2 R9f'~Xx xx <br />INSURANCE COMPANYIIES) <br />ISSUING COVERAGE. <br />A)B) National Union Fire Ins. Co. <br />C)D)E) Old Republic Insurance Company <br />ey <br />2000 13enng Dr.. Suue 9W <br />Homton, Texas 77057 <br />F.O. Bow 36129 <br />Houston, Texas 77236(.129 <br />Phone: 71?/783-6640 <br />Telex 791 397 <br />Int'I. Telex 166 283 or 166 284 <br />Telecopier 713178?-7241 <br />t~~~.~<c <br />
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