2025-06-17_GENERAL DOCUMENTS - C1983059

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"'�••� ® DATE(MM/DD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 06/05/2025 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 certificate does not confer rights to the certificate holder in lieu of such endorsement(s). E CONTACT CD PRODUCER 0 NAME: Aon Risk Services Southwest, Inc. PHONE FAX Dallas Tx office (A/C.No.Ext): C866) 283-7122 (A/C.No.): (800) 363-0105 13 5005 Lyndon B Johnson Freeway E-MAIL p Suite 1500 ADDRESS: I Dallas Tx 75244 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: American Guarantee & Liability Ins Co 26247 Oxbow Energy Solutions LLC INSURER B: zurich American Ins Co 16535 1601 Forum Place Suite 1400 INSURER C: West Palm Beach FL 3 3 401-8101 USA INSURER D: INSURER E: INSURER F: x; COVERAGES CERTIFICATE NUMBER:570113075558 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 INSR ADDL SUBR PULICY EFF POLICY 6XP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY)) LIMITS B X COMMERCIAL GENERAL LIABILITY GL0926594915 06/01/2025 06/O1/2076 EACH OCCURRENCE $2,000,000 CLAIMS-MADE nOCCUR General Lidbl1ty DAMAGE 1ORENFED $1,000,000 PREMISES applies per policy terms & conditions (Ea occurrence) MED EXP(Any one person) $10,000 PERSONAL&ADVINJURY $1,000,000 2 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 n POLICY I 1 PECT I X I LOC PRODUCTS-COMP/OP AGG $2,000,000 co OTHER: o B AUTOMOBILE LIABILITY BAP 9265950 15 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT $1,000,000 N- (Be accident) - , ANY AUTO XO BODILY INJURY(Per person) Z0 OWNED SCHEDULED BODILY INJURY(Per accident) 0) AUTOS ONLY _ AUTOS TO HIRED AUTOS NON-OWNED PROPERTY DAMAGEa X ONLY _AUTOS ONLY (Per accident) F 1; 0) A X UMBRELLALIAB X OCCUR AUC926593715 06/01/2025 06/01/2026 EACH OCCURRENCE $15,000,000 0 umbrella AGGREGATE $15,000,000 EXCESS LIAR CLAIMS-MADE 1DED X RETENTION S10,000 B WORKERS COMPENSATION AND WC937757222 06/01/2025'06/01/2026 x PER STATUTE OTTH- EMPLOYERS'LIABILITYER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— IIII DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) see Attachment: n N 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 POLICY PROVISIONS. i. S Division of Minerals & Geology AUTHORIZED REPRESENTATIVE I— 8 1313 Sherman Street r_. o Room 215 air 1 �/ x _ �_41 Alt1 Denver CO 80203 USA ' /. !�..-9144,1040 e!/G 1111 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD