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C COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS <br />aruas FEDERAL INSURANCE CDNPANY <br />• Po11cy No. 3530 49 37 Renewal of Xumber 3530 49 37 <br /> NAMED INSURED AND MAILING ADDRESS AGENCT NAME AND MAILING ADDRESS <br /> OAKRIDGE ENERGY INC ACCRED-TNONPSON-MASON-OAUGHERT7 <br /> 400 FIRST NATIONAL BUILDING 1300 TEXTH STREET <br /> 718 EIGHT STREET P. 0. BOX 1071 <br /> YICHITA FALLS, TX 76301 YICY ITA FALLS, TX 76307 <br /> (817)723-0771 1-13174 <br /> Policy Period: From 12/05/91 to 12/05/92 at 12:01 A.M. Standard Time et your mailing address shown above. <br /> IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SU8IELT TO ALL THE TERNS OF TH I$ POLICY, YE AGREE YITN YDU TO PROVIDE THE <br /> INSURANCE AS STATED IN THIS POLICY. <br /> ........................................................ <br />LIMITS OF INSURANCE ............................................................... <br /> General Aggregate Limit (Other Than Products - Completed Operations) f 2.000.000 <br /> Products - Completed Opereti ons Aggregate Limit f 1,000.000 <br /> Personal end Advertising Injury Limit f 1,000,000 <br /> Each Occurrence Limit f 1.000.000 <br /> Firc Damage Limit S SO,OOD Any One Fire <br /> Medical Expense Limit S S.OOD Any One Person <br /> DESCRIPTION OF BUSINESS ANO LOCATION OF PREMISES <br /> Form of Business: [ ]Individual [X]COrporatlon [ ]0 rgenizetion (Other then Partnership or Joint Venture) <br /> [ ]Partnership [ ]Joint Yenture <br /> Business Oescri ptton: <br /> location of A11 Premises You Own, Rent or Occupy: <br /> SEE ATTACHED SCHEDULE <br />• <br /> PRE7IIIM <br /> ) I I RATES I ADVANCE PREMIUMS <br /> ( I <br />I I I_________________________I______________________________ <br />I I PRODUCTS/ I I PRODUCTS/ <br /> I ~ PREMIIAI ( ALL I COMPLETED I ALL I COMPLETED <br /> CLASSIFICATION ILOOE ) BASIS I OTH E0. I OP ENATIONS I OTHER I OPERATIONS <br /> SEE ATTACHED SCHEDULE f 10,680 f 0 <br /> Premium Dtseount (-10.94) S -1,164 <br />Total Advance Premium S 9,Slfi <br />FORMS AND ENDORSEMENTS <br />Forms end Endorsements applying to this Coverage Pert and mode Dert of this policy et time of issue: <br />CG0001 1188, CG0303 S1B5,[G0300 1185,CG2273 1185,LG7001 0987,CL0175 02B6,IL0003 1185,IL0017 11&5,IL0021 1185, <br />IL0275 1187,7X0130 0890,7X0140 089D,CG2243 1185,CG2257 0187,7X4202 0132, 7X4202 0133 <br />[ountersignetl By ~~ ~^• v1'y•~~ - ~~ <br />Authorized Repr 5etiteti Ye, <br />• r nED-THOMFUQ~; !IV:.u:~~WC~ <br />THESE DECLARATIONS TOGETHER YI7H THE COM4DN POLICY CONDITIONS, COVERAGE PART DECLARATIONS, COVERAGE PART COVERAGE <br />FORM(S) ANO FOAMS AND ENDORSEMENTS, 1F ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. <br />Dec 13, 1991 (AGENT) <br />FOR IN FORM4TION, OR TO MAKE A COMPLAINT, CALL: 1-800-362-4822 <br />r~ <br />LJ <br />