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- - CERTIFICATE NUMBER <br /> FIOU-000654098-04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A NATTER OF INFORMATION ONLY ANO CONFERS <br />Marsh USA, IDC. NO RIGHTS UPON THE CERTIFlCATE NOLDER OTHER TNAN THOSE PROVIDED IN THE <br />112 East Pepn, Suite 2625 POUCY. TNIS CERTIFCATE DOES NOT AMEXD, E%TEMD OR ALTER THE COVERAGE <br />San Antonio, TX 78205 DEC <br />~ AFFOaoeD BY TXE PO <br />22 Z00 COMPAN ES AFFORDING COVERAGE <br /> COMPANY <br />DhiNan of Minerels enG ~eoicD;, A ST. PAUL SURPLUS LINES INSURANCE CO. <br />INSURED COMPANY <br />Abraxas Petrdeum Corporation B Old American County Mutual Insurance Company <br />701007 <br />P <br />O <br />B <br />. <br />. <br />ox <br />San Anonio, TX 78270-1007 COMPANY <br />- C Texas Mutual Insurance Company <br /> coMPANY <br /> D CLARENDON AMERICA INS CO. <br />THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. <br />NO'rWRHSTANDWG ANV REODU2EMEN7, TERM DR CONDITION OF ANY CONTMCT OR OTHER DOCUMENT NAM RESPECT TO wTRCN THE CERi1FlCA7E MAY BE ISSUED OR MAV <br />PERTAW, THE WSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS Of SVCH POLICIES. AGGREGATE <br />LIMITS SNONT! MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />CO TYPE OF INSURANCE PODGY XUNBER PODGY EFFECTNE POLICY EXPIRATION DNRS <br />LTR DATE (MMmDm'I DATE IYNIDDIYY3 <br />A GEN ERAL LrAmurv MU05535692 09/01/05 09/01/06 GENERAL AGGREGATE S 2,000,000 <br /> X COMMERCVLL GENERAL LINBILrrY <br />- - ~ <br />_ - <br />,. <br />PRODUCTB-COMP/OP AGG 1,000.000 <br /> <br />~ <br />~ <br /> <br />~ <br />- <br />~~ <br />. ~ <br />':.~ <br />. <br />. <br />.. ~ <br />~'k ,,,... ,. ~ r <br />•. L _ _,, _, <br />S ~ <br />~ ~~ <br />~. <br /> CLAIMS MADE <br />OOCUA :._ • <br />_- <br />, <br />-- <br />- - _ PERSONN:BAW WJURY <br />_ _ OWNER'SBCONTRACTOR'S PROT EACH OCCURRENCE <br /> FlRE DAMAGE arre (vA) S 100,000 <br /> <br /> MED EXP ale <br />B ABT OMOmtE Lwmtm DSS64212296 09/01/05 D9/01/06 <br />00 <br /> COMBWED SINGLE LIMIT S 800, <br />0 <br />D X ~,~D DCT000005943 09/01(05 09!01!06 <br /> ALL OWNED AUTOS BODILY INJURY ,$ <br /> SCHEDULED AlRO$ (Pa ~r>wn) <br /> HIRED AUTOS BODILY IN.IURV S <br /> NON-0WNED AUTOS (~ ~~) <br /> PROPERTYDAMAGE <br /> <br /> GARAGE LUUNDTY <br />AVrO ONLY-EA ACCIDENT <br />S <br /> ANYAUTO OTHER THAN AUTO ONLY: <br /> EACH ACCIDENT <br /> AGGREGATE <br /> EXCESS LWWLI'rY EACH OCCURRENCE S <br /> UMBRELIA FORM AGGREGATE S <br /> OTHER THAN UMBRELLA FORM S <br />C WORKERS COMPENSATIO AND TSF-000110654820050514 05/14/05 05/14/06 X - <br /> EMPLOYERS'DAaR1TY TORY LIMITS ER <br /> EL FACH ACCIDENT S 1,000,000 <br /> THE PROPRIETOR! INCL <br />PARTNERSIEXECUfNE=^ <br />^ EL DISEASE-P000V LIMB S 1,000,000 <br /> . <br />ICERS-ARE-- - FXCI _ _ <br />~ --- <br />EL OISEASEFACH EMPLOYEE <br />S 1,OOD,000 <br /> <br />DESCRIPTION OF OPERATIONSB.OCATIONSIVEXICLESA3PECULL.ITEMS ,. <br />CerBficate holder is named additional insured as requiretl by wdtten contrail with respells to general liability and auto liability coverages. Waiver of <br />Subrogation is induded in favor of cerfifipte holder with respects ro general liability and auto liability coverages. <br />It is warranted that no mining opera8ons are being conduded by fhe Insured. <br />RE: Fastside Mine (C-84-063) <br /> 3110UD ANY OF l1E PDUGIE8 DESCPoSED HEREIN SE CJJIGEISED BEFpE 11E E%NRATIDN MTE TEREOF. <br /> THE NSURER AFFDPdNG GDYEnAGE WLL EI~ICSIPq~MVL ~g G1Y3 VANREN NOTICE TO TIE <br />Mind Land Redama8on CERIIDCAIE NDL~R NaJEO HEREW <br /> <br />Attn: Stephen Self . <br />1908 County Road 214 <br />Silt, CO 81652 <br /> MARSN USA INC. - <br /> Br: Richartl D. Jeter <br /> VALID AS OF, 11/113/05 <br />