2008-10-02_GENERAL DOCUMENTS - C1982055

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ACORD CERTIFICATE OF LIABILITY INSURANCE CSR T5 F DATE(MM/DD/YYYY) ENERG-1 09/30/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Steamboat Spgs POB 775043 HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 2130 Resort Drive , ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Steamboat Springs CO 80477-5043 Phone: 970-879-1363 Fax: 970-879-0239 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Arch Insurance Company 11150 Ener F el C ti INSURER B: gy u s orpora on Lindsay Yates INSURER C: PO--BOX 773457 " Steamboat Springs CO 80477-3457 INSURER D: INSURER E: 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. LTR) NSRO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY) POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 f QQO ' 000 A X COMMERCIAL GENERAL LIABILITY CSPKGO0243 10/01/08 10/01/09 PREMISES(Eaoccurence) $ 100,000 7 CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5 ,Q Q Q PERSONAL &ADV INJURY $ 1 000 000 , , GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER P PRODUCTS - COMP/OP AGG , , $ 2,000,000 E X POLICY J JECT LOC AU TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS. (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS, - - (Per accident) - - PROPE TY R DAMAGE $ (Per acclde-) GARAGE LIABILITY AUTO ONL Y EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ? CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND -EMPLOYERS'-taABILiTY- - - - - - ' - - TORY LIDAITS FR - - - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? If yes describe under E.L. DISEASE - EA EMPLOYEE $ , SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ I OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT) SPECIAL PROVISIONS Issuing Insurance Company will notify the Division whenever the policy is terminated by cancellation or failure to renew provided however failure to mail such notice shall impose no obligation or liability of any kind upon the Issuing Insurance Company, its agents or representatives. *10 Day Notice for non-payment of premium per Colorado Law. VCR I Ir'IL.H 1 C r'IULUMM GANGtLLA I IUN Colorado Division of Minerals and Geology 1313 Sherman Street 215 Centennial Buiding, Rm 215 Denver CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. IUTH Rk D REPRESENTATIVE AL'Umu LO (LUU-I/U23) © ACORD CORPORATION 1988