2015-01-02_GENERAL DOCUMENTS - C1981035

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A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1010212014 THIS CEIVIFiCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. O e cer0cate hofder is an 10WORC INSWF, the pol a) must be *Mftme& if SUMOGATM IS s to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endotaement(s). PROetim Aon Risk services Southwest, Inc. Houston TX Office 5555 San Felipe suite 1500 IM&O (866) 283 -7122 Y (900) 363 -0105 E -MAIL ADDRESS: X COM]MERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR - -- Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIL# INSURED GCC Enerav, LLC 6473 county Road 120 Hesperus CO 81326 USA INSURER A: American Zurich Ins Co 407.42 INSURER B: Zurich Aearican ins CO 16535 INSURER C: Liberty Insurance ters, Inc. U917 PERSONAL & ADV INJURY $1,000,000 INSURER D: GEN£RALAGGREGATE INSURER E: GMAGOtrd9ATE x ' INSURER F: SC1ARIn.l .11 tlaOCC). $4,000,000 __-- _- . -__.� -- --------- COVEKAGhb VCI[l if II+ IG-U —u -I— f-- --- --v -- ____ -__ __ THAT THE POLICIES OF INS LISTED BELOW HAVE SEEN ISSUED TO ED NAMED ABOVE THE POLICY PERIOD WIC.ATED. NOTtMTHVANDMQ ANY REQUB' BwXT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TM CERT1f"TE MAY BE ISSUED OR MAY PERTAIN T4 INSURANCE AFFORDED BY-11HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TMA4, EXCLUSIONIS AND CONDITIONS OF SUCH POLICIiS. LIMITS SHOWN MAY HAYE SEEM REDUCED BY MID CLAIM& Unft shown era a TYPE OF INSURANCE POLICY NUMBER LIMITS X COM]MERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR - -- EACH OCCURRENCE $2, 000, DA PREMISES Ilia occurrence) MED EXP (Any one person) $1,000,000 $10,000 PERSONAL & ADV INJURY $1,000,000 GEN£RALAGGREGATE $4,ODO,DO GMAGOtrd9ATE x LIMIT APPLIES PER. j"�PRO- ❑LOC POLICY FTECT OTHER: PRODUCTS- COMP /OP AGG $4,000,000 B AUTOMOBILE LIABILITY X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUTOS NON -OWNED AUTOS 51000 Call Ded $10aa Comp Ded 09/01/2014 09/01/2015 COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY ( Per person) BODILY INJURY (Peraccident} PROPERTY DAMAGE 1 C X UMBRELLA LIAR EXCESS UAB I X I OCCUR CLAIMS -MADE 09101MI4 09/01/2015 EACH OCCURRENCE AGGREGATE $25,000,000 [RETENTION B B WORKERS COMPENSATION AND y/� ANY PROPRIETOR 1 PARTNER 1 EXECUTIVE iii OFFICERIMEMBER EXCWDED7 U (Mandatory in NH) it yes, describe under DESCRIPTION OF OPERATIONS below — N I A 1 1 2 X PER STATUTE 10TH - E.L. EACH ACCIDENT $2,000,000 E.L. DISEAS6•EA EMPLOYEE $2,000,000 E.L. DISEASE - POLICY LIMIT $2. 000, 000 H �CRIFWI OF GPEtVIONiI /LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required) see Attached: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. office of surface Mining AUTHORIZED REPRESENTATIVE western Regional coordinating PO 46667 � d� LL Denver ver Co 80201 -6667 USA %�j�" eJ ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD r. K .-z-