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~ EnRisk Services, Inc. Fa;:~1787719~W i~t 31 '01 <br />ACORD CERTIFICA?E OF LIABILITY tNSUR.A~ <br />vr+ooucER THIS cERTICICATEI 3VE <br />ONLY AND CONFERS w0 RIt <br />SnR1sk Services, Ine. HOLDER. THIS CERTIFICATE <br />P.o. sox 9699 RECEIVED ALTER THE COVERAGE AFc <br />W Ch IS 76113-3624 <br />i~ __~, <br />P. U"1 <br />DATE 4NAWDIYT) <br />Fort or <br />Phone: 817 -877-1884 .. INSURERS AFFORDING COVERAGE <br />INSURBD n A ,vusuaERa St. 4au1 Surplus Lines Ina. <br />wsuRER a <br />Abraxas Petr lei Corporatioa <br />uB _ carol o ~ ~ryyen pivision of Minerals d Geology '"~R ` <br />P .O. BOY 701 D 7 wSURER D: ' <br />' Saa Antonio Tx 78270-1007 <br />1 WSURER E: <br />THE POLICIES OF DISURANCE LISTED BELOW NAVE OEEN 155UEL TO THE WSVPED NPMED A80VE FbR THE POLICY PER10D INDICaTEO. NGTWII}ISTAtII11wG <br />ANY REOYIREMENT. TERM OR CONDITION OF ANY CONTPAtt OR OT+EA OOUiMEM WITH RE.`SECT TO wHgN T10.4 CEitnfICATE pAV 8E iSSIEDOR <br />MAV PERTAIN. THE PJSVRANCEAEFORD®BY TI$ PDtIC1E5 DESCRIAED HEREPI IS SUBJECT TO ALL THE lEFMB, EXCLUSIONS AND CON WTgNS OF SUCH <br />PDLX:IES. aGGAEGATE LWITS SNOWN fMY HAVE BEEN REWCEO BY PAIDCWMS. <br />L R TYPE OFAVSURANCE POLICY NUMBER DATE DATE ~T3 <br /> GENERAL UABitm Eacai oCCURREw(i(( s 1,000,000 <br />A 8 eoMMEacNL U'ENEAAL UaBf.mr iQII05531607 09/01/01 09/01/03 fOiE DAfuGEtAlNaw ero) E 100,000 <br /> CLAIMS MADE O% OG.:VVR MED EkP fAATpK perm) ~ S $r 000 <br /> PERBOwasADVU+JUCIr s 1,000,000 <br /> _ GENERAL AGGREGATE s 2.oao.ooo <br /> (jENI eGGREGATE LIMRAPFLIE3 PERT ---- ~- ---__~- -_ _ - -_ ~ _~ -_- ~" PRODUCTS-CDMPgP AGG. .S 1,000,000 <br /> $ DOLICY PRO LOC <br /> AU TOMOBILE IIABILRT <br />ANY AtJID <br />COMBINED SMGLE LIMB <br />(Fa PasIMV <br />f . <br /> aLI OWNEO AUTOS <br /> <br />13CNEDUL®AUTOS ' <br />BODRYIrLIURY <br />(P~ P~9OP) <br />J <br /> <br />v wDiED AUTOS <br />NGH-0WNED AUTOS EDDILY IIUURY <br />IPx SWE&tll f . <br /> PROP6tiY DNMAGE . <br /> IPV OWderrtl S <br /> WRAGE LIABILfIY PUTO ONLY-BA ACCIDENT 5 <br /> ANY AUTO OTMEA THPN En ACC S <br /> AUTO ONLY; AGG s <br /> EXCESS UABRRY EAG1 OCCURRENCE i <br />I OCCUR ~ ClAM9 MADE AGGREGATE ~ 3 <br /> ^ <br />5 <br /> DEWCTR366 ~ ~ <br /> RETEAmow s a <br /> WORNBRS COMPRHSATNMI AND <br />' TORY LRRTS ER <br /> EMPLOYERS <br />141BRITY <br />El EACH ACC®ENT <br />5 <br /> El. DISEASE - EA EMPLO f <br /> EL. DISEASE-POLICY LIMIT s ' <br /> <br /> <br />DESCRIPRON OF M~FRnT10N9n.OCATIONfNEMCLES~EXClu9wN5 nODCD 8Y ENppRSEMENTSPECUL PRON90N5 <br />It is warranted that ao coal mining operatioae are being eoTLdveeed by the <br />assured. <br />"CERTIFICATE HOLDER p aDDmoMeI WSVRED:INSIIq£a LErrElt_ CANCELLATION <br />DIVOPMI SHOl0.D aNY OR TIIE ABOVE DESCRIBED POLICIES BE CANCfiLED BEFORE THE EAwRn <br />PATETNEAEDF, THE 138NNG RYSt/RER WR.1. MAA. ~~DAY3WRRTEN <br />Division o£ Minerals and NontaTOTIIfieERTIgCATENOLOERwaA4DTO71¢LEfr, <br />Geology ~ ' <br />Attae Mr. 8yroa fPalker ~ - ~ <br />1313 Sherman Street <br />Deaver CO 90703 afm+oa¢E°REPRessHr^TMt~A ~ <br />