2008-09-12_GENERAL DOCUMENTS - C1984063

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Fa 5:44 L P940(0 DATE(MM/DD/YYYY) t ACORDT. CERTIFICATE OF LIABILITY INSURANCE 09/04/2008 PRODUCER Aon Risk services southwest, Inc. THIS CERTIFICATE IS. ISSUED AS A MATTER OF INFORMATION ONLY fka Aon Risk Services of Texas, Inc. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 1330 Post Oak Blvd. CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Suite 900 COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77056-3089 USA INSURERS AFFORDING COVERAGE # NAIC PHONE-(866) 283-7122 --(847) 953-5390 INSURED INSURER A: ACE American Ins 22667 Abraxas Petroleum Corporation Suite 100 1604 Ea t 500 N L INSURERB: , . oop s San Antonio Tx 78232 USA INSURER C: SEP 12 MR INSURER D: Division uf rl , INSURER E: @M0 safet PARO y @ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR LTR DDS INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE(MM\DD\YY) POLICY EXPIRATION DATE(MM\DD\YY) LIMITS A ENERAL LIABILITY PMDG24652361 09/01/08 09/01/09 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED Y $100,0 - 00 PREMISES (Ea occurence) CLAIMS MADE © OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 E GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 PRO- - ?X POLICY ? 1 LOC F A AUTOMOBILE LIABILITY PMUH0841340A 09/01/08 09/01/09 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ( Per person) HIRED AUTOS BODILY INJURY NON OWNED AUTOS (Per accident) PROPERTY DAMAGE N (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC B AUTO ONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE ? OCCUR ? CLAIMS MADE AGGREGATE B DEDUCTIBLE RETENTION WC STATU- OTH- WORKERS COMPENSATION AND T R T R EMPLOYERS' LIABII.ITY E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE DISEASE-EA EMPLOYEE E L OFFICER/MEMBER EXCLUDED? . . If yes, describe under SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is named Additional Insured as required by written contract with respect to General Liability and Auto Liability coverages. waiver of subrogation is included in favor of certificate Holder with respect to General Liability and Auto Liability coverages. CERTIFICATE HOLDER C.%NCELLATION' Division of Minerals & Geology SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Attn. Mr. Byron walker DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1313 Sherman street BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Denver CO 80203 USA OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE c.Om.??keaccYSO ??vicetJ sn9sn RD 25 f2091 i0 WORD RPORATI N-1 8 d w c 'II x r ?L ?r i®