Laserfiche WebLink
<br />01 <br />Attachment to ACO" 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 />ADDITIONAL POLICIES <br />INSURER <br />INSURER <br />INSURER <br />If a policy below does not include limit information, refer to the correspondmg policy on the Auvluu <br />certificate form for nnlicv limits. <br /> <br />llVSR <br />LTR ADD`L <br /> <br />?NSRD <br /> <br />TYPE OF INSURANCE POLICY NUMBER <br /> <br />POLICY DESCRIPTION POLICY <br />EFFECTIVE <br />DATE POLICY <br />EXPIRATION <br />DATE <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCAT(ONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: OSM Permit CO-0106; CDRMS Permit CO-1981-035. <br />Office of surface mining western Regional coordinating 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 />BI & PD Coverage <br />XCU Exclusion does not apply <br />Certificate No : <br />570026240334