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ERTIFICATE OF INSURANCE <br />EFFECTED WITH CERTAIN NON•ADMITTED INSURANCE COMPANIES <br />ISSUED BY: <br />P.H. Van Wagoner II 8 Co., Inc. <br />801 E. Campbell Rd. Suite 390 <br />Richardson, Texas 75081 <br />~: ~: In accordance with authorization granted to P.N. Van wagoner II L Co., Inc. by certain non-admitted Ccapani es whose <br />.:. names and proportions urxierwritten by them can be ascertained by refererce to said P.M. Van wagoner II.,Irc. <br />`" (such Conpanies hereinafter being called Ulderwri tars). <br />."": PUrswnt to cuch authorization and in eonsiderstion of the stipulations erd premi un shown, Underwriters do hereby <br />:~:~: 6ind theeselves, each far his own pert artl not one for argther in favor of: <br />^.~~Insured NEw GSTLE ENERGY CORPORATION Certificate No. %ML•7003 <br />~~~:~~~Address 9137 E.MINERAL CR. Contract No. <br />City, State,2ip: ENDLEIIOOD, CO 80712 <br />:.:"`:Effective date 12/22/89 to 12/22/90 00.07 hours Sterdard T1me <br />at place of insurance <br />':~~~ Polity Type: E%CESS FOLLOWING FO0.M GENERAL LIABILITY <br />~. ~~~~Insuring the Following: <br />$ 500,000 per occurance excess of $ 500,000 per occurance <br />{primary limits ) as provided by the HOMESTEAD INSURANCE <br />_ COMPANY policy # LM-10021 <br />.~~Insurence provided by [his Certificate is for t00X <br />INSURANCE COMPANY: SPHERE DRAKE INSURANCE COMPANY <br />...:~..:~FORMS ATTACXED: TP3A, PW679 <br />PROVISIONAL OR DEPOSIT PREMIUM: f 989.00 <br />MINIMUM PREMIUM: f 750. QO <br />BASIS OF ADJUSTMENT: SOX OF HOMESTEAD <br />INSURANCE CCMPANTrS <br />FINAL ADJUSTED <br />PREMIUM <br />PROVISIONAL OR DEPOSIT PREMIUM: S 989.00 <br />STATE TAX: f 0.00 <br />STAMPING FEE: f 0.00 <br />7~ <br />~~~'~~~~ <br />:~~ SPECIAL TERMS AND CONDITIONS: <br />7 nN 2 6 1~!`~u <br />.. ~,. <br />