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2008-03-05_REVISION - C1981035 (2)
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2008-03-05_REVISION - C1981035 (2)
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Entry Properties
Last modified
8/24/2016 3:24:31 PM
Creation date
3/6/2008 3:08:32 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
REVISION
Doc Date
3/5/2008
Doc Name
Response Letter
From
GCC Energy
To
DRMS
Type & Sequence
SO3
Media Type
D
Archive
No
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C 1 apt v?? <br />RECEIVED <br /> <br />YYYY <br />(MM/DD/) <br />DATE <br />lz/lz/zoo? <br />ACORDr. CERTIFICATE OF LIABILITY INSURANCE MAR 0 5 2008 <br />eao Aon Risk Services of Texas <br />Inc THIS CERTIFICATE IS ISStO,F RMATION ONLY <br />, <br />1330 Post Oak Blvd. AND CONFERS NO RIGHTS HOLDER. THIS <br />Suite 900 CERTIFICATE DOES NOT AME R THE <br />Houston TX 77056-3089 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAIC # <br />PHONE-(866) 283-7122 FAx- 847 953-5390 <br />INSURED INSURERA: National union Fire Ins Co of Pittsburgh 19445 <br />GCC Energy, LLC <br />d <br />20 INSURERS: Liberty Insurance Underwriters, Inc. 19917 <br />1 <br />4424 County Roa <br />Hesperus CO 81326 USA INSURERC: <br /> INSURER D: <br /> INSURER E: <br />COVERAGE <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 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 MAY BE ISSUED OR MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR D <br />INS <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE(MM\DD\YY) POLICY EXPIRATION <br />DATE(MM\DD\YY) <br />LIMITS <br />A GENERALLIABadTY GL 4807161 09/01/07 09/01/08 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $50,000 <br /> PREMISES (Ea occucrnce) <br /> CLAIMS MADE ® OCCUR one perso n <br /> PERSONAL& ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 <br /> PRO- <br />POLICY <br /> ? I,OC <br />? <br />El <br />JECI <br />A AUTOMOBILE LIABUATY CA 4806652 09/01/07 09/01/08 <br />COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> )( SCHEDULED AUTOS ( Per person) <br /> J( HIRED AUTOS <br />BODILY INJURY <br /> NON OWNED AUTOS (Per accideot) <br /> $1000 COIL Ded PROPERTY DAMAGE <br /> r accident) <br />(P <br /> $1000 Como Ded c <br /> GARAGE LIABHATY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO <br />OTHER THAN EA ACC <br /> e AUTO ONLY <br /> AGG <br />B EXCESS /UMBRELLA LIABILITY LQiB7118356504 09/01/07 09/01/08 EACH OCCURRENCE <br /> OCCUR El CLAIMS MADE umbrella Liability Pri m AGGREGATE $10,000,000 <br /> Products/completed 0 $10,000,000 <br /> DEDUCTIBLE <br /> RETENTION <br />A WC7208638 09/01/07 )( WC STATU- OTH- <br /> WORKERS COMPENSATION AND T <br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$1,000,000 <br /> If yes, describe under SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT $1,000,000 <br /> below <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />See Attached: <br />CERTIFICATE HOLDER CANCELLATION <br />Colorado Division of Reclamation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />Mining & safety DATE THEREOF, THE ISSUING INSURER WILL ENBEAVORT'e MAIL <br />1313 Sherman street, Room 215 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Denver Co 80203 USA <br /> AUTHORIZED REPRESENTATIVE <br />s4fa.a ,Zak ?e+uzcea o& rJ'cxaa, `JAmc. <br />ACORD 25 (2001/08) ACORD CORP ION 198 <br />tD <br />'-I <br />M <br />O <br />eY <br />N <br />\fl <br />N <br />O <br />O <br />n <br />to <br />z <br />v <br />i# <br />v <br />L. <br />Z <br />t, <br />U <br /> <br />
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