Laserfiche WebLink
ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID L DnrE (MM/00/YVYY) <br />ABRAXPl 09 16 04 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />EnRisk Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />6100 Western Place, Suite 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Fort Worth TX 76107 <br />Phone: 617-877-1864 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED <br />INSURER A: st. Paul aunplue xanea me. <br /> INSURER B: <br />Abraxas Production Corporation <br /> <br />Ms. Carol O'Brien INSURER C: <br />P.Q. SOX 7Q1QD7 INSURER D' <br />San Antonio <br />TX 78270-1007 <br />, <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICpp/TT'rc <br />NOTWITHSTANDING <br />D <br />1,, <br />' <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATETEYer~[jl$ ~ <br />~ OR <br />, <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITI~RS~BEE <br />~ <br />4~ <br />POLICIES. AGGREGATE LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS. <br />G..y/ <br />LTR NSR TYPE OFINSURANCE POLICY NUMBER DATE MM/DDIW GATE MMIDDmN LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , OOO , OOO <br />A X COMMERCIAL GENERAL LIABILITY MU055334861 09/01/04 09/01/05 PREMISES (Eao¢urence) $ 100,000 <br /> CLAIMS MADE X^ OCCUR _ <br />_, _- MED EXP (Any one person) S _ _ $ , DQD <br /> _ <br />_ _.. PERSONAL BADV INJURY $ 5,000, OOO <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER'. PRODUCTS-COMP/OP AGG $ 1,000,000 <br /> X POLICY PRO LOC <br />JECT <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br /> ANY AUTO (Ea accident) <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accitlenq <br /> PROPERTY DAMAGE <br /> <br />(Per accitlenB $ <br /> GAR AGE LU\BILITY AUTO ONLY-EA ACCIDENT $ <br /> ANY AUiO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />EL EACH ACCIDENT <br />$ <br /> Y PRDPRIETOR/PARTNERIEXECUT -- --~ --- <br /> OFFICERIMEMBER EXCLUDED? E. L. DISEASE-EA EMPLOYEE $ <br /> If yes, tlesulbe under <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES/EXCLUSIONS ADDED BV ENDORSEMENT I SPECIAL PROVISIONS <br />Certificate Holder included as Additional Insured and Waiver of Subrogation <br />provided as required by written contract but only to the extent of such <br />contract and only for operations performed by or for the Named insured. Zt <br />is warranted that no coal mining oeprations are being conducted by the <br />insured. <br />VCRIIflVN1C r1VLVGR <br />DIVISIO SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL <br />D1V1310n of Minerals S Geology IMPOSE NO OBLIGATION OR LIABILITY OF ANV KIND UPON THE INSURER, ITS AGENTS OR <br />Attn: Mr. Syron Walker <br />1313 Sherman STreet REPRESENTATNES. <br />Denver, CO BO203 AUTHORIZED REPRESENTATIV~~ <br />......,.. ..~.e~~,r,.el - V ~ "~-----+ nACORD CORPORATION 1988 <br />