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OAKRENE-01 KELE <br />ACORD~, CERTIFICATE OF LIABILITY INSURANCE °~vzii2oo ' <br />PRODUCER (940) 723-0771 <br />Allred Thompson Mason Daugherty Ins <br /> <br />P O Box 1071 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Wichita Falls, TX 76307-1071 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />ri~E <br />INSURED Oakridge Energy Inc; Pueblo M' INSURERA: Mid-COntlnent CaSUalty CO. <br />~ <br />4613 Jacksboro Highway R~ INSURER B: Texas Mutual Insurance Co. <br />Wichita Falls, TX 76302- <br />- INSURER C: <br />O ZOO <br />J <br />OV " <br />INSURER D: <br />N <br />LtOn~ INSURER E: <br />COVERAGES vta""' a` <br />THE POLICIES OF INSURANCE LISTED BELOW H ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD• POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS <br /> EACH OCCURRENCE $ 1,000'00 <br />A GEN <br />X ERAL LIABILITY <br />AL LIABILITY 04GL000697848 12/5/2007 12/5/2008 DAMA E TO RENTED <br />PREMISES Ea occurence 1 OO OO <br />$ + <br /> COMMERCIAL GENER <br />CUR <br />~ MED EXP (Any one person) $ EXCLUDE <br /> OC <br />CLAIMS MADE PERSONAL 8 ADV INJURY $ 1,000'00 <br /> 00 <br />2 <br />000 <br /> GENERAL AGGREGATE , <br />' <br />$ <br /> 00 <br />000 <br />2 <br /> R PRODUCTS -COMP/OP AGG , <br />, <br />$ <br /> : <br />GEML AGGREGATE LIMff APPLIES PE <br />X POLICY PRO LOC <br /> AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,00 <br />A X 04CA002757212 12/5/2007 12/5/2008 (Ea accdent) <br /> ANY AUTO <br />ALL OWNED AUTOS BODILY INJURY $ <br /> (Per person) <br /> SCHEDULED AUTOS <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br /> (Per accdent) <br /> NON-0WNED AUTOS <br />PROPERTY DAMAGE <br />$ <br /> (Per accident) <br /> AUTO ONLY - EA ACCIDENT $ <br /> GA RAGE LIABILITY THAN EA ACC $ <br /> ANY AUTO OTHER <br />AUTO ONLY: qGG $ <br /> EACH OCCURRENCE $ 1,000,00 <br />A EXCESSAIMBRELLA LIABILITY <br />X <br />~ 04XS152679 12/5/2007 12/5/2008 AGGREGATE $ 1,000,00 <br /> CLAIMS MADE <br />OCCUR <br /> $ <br /> DEDUCTIBLE <br />X RETENTION $ 10,000 <br />N AND <br />~( WC STATU- OTH- <br />Y $ <br /> WORKERS COMPENSATIO <br />EMPLOYERS' uaBILITY 0001027321 <br />SBP 7114/2007 ~. 7/1412008 _ , E.L. EACH AccIDENr $ _ 1'000'00 <br /> ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ___ _ _ <br />_ _ <br />E.L. DISEASE - EA EMPLOYEE 1+000,00 <br />$ <br /> H yes, describe under <br />SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1+000,00 <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />Carbon Junction Coal Mine, Durango, Colorado Permit #C-92-080 <br />CERTIFI(:A l t F1ULUtK <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO <br />Colorado Division of Minerals & Geology THE ISSUING INSURER wlLl~ili~l~t~~ MAIL 3O DAYS WRITTEN <br />DATE THEREOF <br />1313 Sherman, Room 215 , <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, LL <br />Denver, CO 80203- <br />)t&~)tllOEi4a(X~EX. <br /> AUTHORIZED REPRE ATIVE ~ i`'~ <br />.Ire G~~-~~~L-'~'~'~- <br /> RD CORPORATICtN BURR <br />ACORD 25 (2001/08) ©ACO <br />