2019-06-07_GENERAL DOCUMENTS - C1983059

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C l C g 3-D s9 x,05 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/3112019 THIS CERTIFICATE 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. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this w certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk services, Inc of Florida PHONE FAX 1001 Bri ckel l Bay Drive (AIC.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 'D Suite 1100 E-MAIL Miami FL 33131 USA ,�VOADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED O`` I INSURERA: Zurich American Ins Co 16535 OXBOW Enerav Solutions LLC `\`N INSURER B: American Guarantee & Liability Ins Co 26247 S6 1601 Forum Place Suite 1400 ®gyp.'( INSURER c: ACE Property & Casualty Insurance Co. 20699 West Palm Beach FL 33401-8101 uSA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570076444900 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Limits shown are as requested ADD SUBRI INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER FOLICY EFF R"DYYYY POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY GLO 10610112020 EACH OCCURRENCE $2,000,000 CLAIMS-MADEX❑OCCUR General LiablityDAMAGET E $1,000,000 SIR applies per policy terns & conditions PREMISES Ea occurrence MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 CO, GEN'LAGGREGATE LIMITAPPLIES PER GENERAL AGGREGATE $4,000,000 POLICY [:]PRO X❑LOC PRODUCTS-COMP/OPAGG $2,000,000 r 0 OTHER O A AUTOMOBILE LIABILITY BAP 9265950-09 06/01/2019 06/01/2020 COMBINED SINGLE LIMIT Business Automobile Cover Ea accident) $1,000,000 X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) d AUTOS ONLY AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE ONLY AUTOS ONLY Per accident It d B X UMBRELLALIAB X OCCUR AuC926593709 06/01/2019 06/01/2020 EACH OCCURRENCE $25,000,000E V EXCESS LIAB CLAIMS-MADE umbrella AGGREGATE $25,000,000 DED I X RETENTION$10,000 WORKERS COMPENSATION AND PEROTH- EMPLOYERS'LIABILITY YIN STATUTE R ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below JEL DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) �...I See Attachment: RE: Terror Creek Company. C-1983-059 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 1+V POLICY PROVISIONS. Division of Minerals & Geology AUTHORIZED REPRESENTATIVE r"r 1313 Sherman Street Room 215 Denver CO 80203 USA c/ stlaYtt ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD