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~ cxord <br />NAMF AND ADDRESS OF AGENCY <br />Wallace and Skiles <br />3303 Lee Parkway, Suite 101 <br />Dallas, TX 75219 <br />COMPANIES AFFORDING COVERAGES <br />IOMPPNY A rdead Reinsurance Corporation <br />IFTTER <br />fDMPANY to <br /> LErrEH 1.7 <br />NPME AND ADDPF55 OF INSURED <br />"° <br />General Exploration Co., et al. ;°;;ER <br />C, <br /> <br />GEX Colorado, Inc. <br />4219 Sigma Road coMPANY D <br />LFTrfR <br /> <br />Dallas, Tx 75234 <br /> COMPANY C <br /> LETTER L <br />This Is to certify that policies of insurance listed below have been Issuetl to the Insured named above and are In torte at this time. Notwdhs[andmg any repmrement, term or condition <br />of any contract or other document with respect to wha:h this certiLCale may be Issued or may pertain, the insurance eHorded by the poLCres described herein a subject to all the <br />terms, eadusions and contlihons of such pohues. <br /> Pn <br />v Limits of Liability in Thousand s (0 O) <br />LOMPPn. <br />lEiiEP rYPE OF INSURANCE PDI IIY NUMRER uc <br />Erc'IRAiION DaiE FP(H pGGREGPrE <br /> OR'U RRE NCE <br /> GENERAL LIABILITY <br /> aonnY INJURY s 500 s 500 <br /> COMPREHENSIVE FORM <br /> <br /> ~PREM6E5-rIPERPfIONS GL~ 1181 <br />U 9/25/pl <br />U PROPERIY GAMAGF 4 COO <br />J E 500 <br />J <br /> ESP <br />N 4ND CJIIAPSE <br />051 <br />A 4 <br />D <br />^ [ q'' <br />S.~OO~~Ct L <br /> UNDEPGROUNp HA(ARp <br /> PPODUC iS.f UMPL Er ED <br /> OPEPPiµMS HSIPRD BODILY INJURY ANO <br /> ~ UNiRPCiIJAL INSU pPNQC PROPE RrY DAMAGE S } <br /> PROPO FORM11 PROPERi• COMPINED <br /> ~1 DAMPGE <br />TOpS <br />1NOf Pf NDENr ANT RA' <br />L <br />]4 <br /> I <br />. <br />~~ <br />L~ PER50NAl IN IURY PE RSONPL IN JURY S <br /> AUTOMOBILE LIABILITY BODILY w1URY <br />E <br /> COMPREHEN[rvF FORM ~ErYHPERSONI <br />BODIIT INJURY s <br /> <br />OWHfD (EACH ACCIpE Nit <br /> HIRfD PRnPFRiY pAMAGE b <br /> <br />N <br />N PODIIY INJURY 4ND <br />5 <br /> ON Ow <br />f F' PROPERTY DAMAGL <br /> fOMBINf D <br /> E%CESS LIABILITY <br /> BO011 T INJURY AND <br /> ^ <br />IIMPPELIP FORM PRUPERIY DAlAPGE 6 S <br /> Oi HEPrHAN UTAH RELLA COMBINED <br /> EORM <br /> WORKERS' COMPENSATION 5raruruRr <br /> and <br /> EMPLOYERS' LIABILITY s ix„e ~.iorNn <br /> OTHER <br />DESCRIPTION OF OPE RAi10N5iLOCATIONSNEBICLES <br />Cancellation: Should any of the above described pohues be cancelled before the ex piration date thereof, the Issuing com- <br />pany wdl endeavor to mail ~- days wntten notice to the below n amed certificate holder, but failure to <br />mall such notice shall Impose no obligation or Ilabllity of any kind upon the company. <br />NP.ME AND ADDRESS Of fERTIRCATF HOIDCR <br />OCtOher 7, 1980 <br /> <br />Dere IssufD <br />Colorado Department of Natural Resources <br />Mined Land Reclamation Board ~Q <br />L <br />Mined Land Reclamation Divisi ~ <br />on PDTHDRIZEE EPRESENTATIYf <br />Room 723, 1313 Sherman Street <br />Fxi1VCL, l.U t5U1p3 <br />ACORD 25 (IJR) <br />