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., <br />'~ ,. <br />Attachment to ACORD Certificate for Gcc Energy, LLc <br />The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage <br />afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. <br />INSURED <br />GCC Energy, LLC <br />4424 County Road 120 <br />Hesperus CO 81326 USA <br />INSURER <br />INSURER <br />INSURER <br />~-- <br />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACOIiD <br />certificate form for policy limits. <br /> <br />1NSR <br />LTR ADD'L <br />INSRD <br />TYPE OF INSURANCE POLICY NUMBER <br /> <br />POLICY DESCRIPTION POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br /> <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT/SPECIAL. PROV1S10NS <br />Re: OSM Permit CO-0106; CDRMS Permit CO-1981-035. <br />Colorado Division of Reclamation, Mining & safety is named as an additional insured as required by <br />written contract but limited to the operations of the Insured under said contract, and always subject to <br />the policy terms, conditions and exclusions. <br />Certificate No : 570026240316 <br />