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2008-11-28_GENERAL DOCUMENTS - C1992080
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2008-11-28_GENERAL DOCUMENTS - C1992080
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Last modified
8/24/2016 3:38:21 PM
Creation date
12/1/2008 10:17:45 AM
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Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/28/2008
Doc Name
Certificate of Liabilty Insurance
Permit Index Doc Type
Insurance
Email Name
TAK
Media Type
D
Archive
No
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OAKRENE-01 GRSH <br /> <br />AC6RD <br />CERTIFICATE OF LIABILITY INSURANCE <br />-7 <br />DATE <br />TM 11/24/20 8 <br />PRODUCER (940) 723-0771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INF ORMATION <br />Allred Thompson Mason Daugherty Ins ONLY AND CONFERS NO RIGHTS UPON THE CERTI FICATE <br />A Higginbotham S Associates Co HOLDER. THIS CERTIFICATE DOES NOT AMEND, E XTEND OR <br />. ALTER THE COVERAGE AFFORDED BY THE POLIC IES BELOW. <br />1300 10th St <br />Wichita Falls, TX 76301-3227 INSURERS AFFORDING COVERAGE RE CE <br />INSURED Oakridge Energy Inc; Pueblo Mining Inc INSURER A: Mid-Continent Casualty Co. <br />4613 Jacksboro Highway INSURER B: <br />Wichita Falls, TX 76302- <br /> INSURER C: <br /> INSURER D: <br /> Divisiu? Of INSURER E: a ama Ion, <br />Riming and 5atety <br />COVERAGES <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 <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />PODATE IMMIDDIM LICY EXPIRATION <br />LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 <br />A X COMMERCIAL GENERAL LIABILITY <br />' 04GL000739632 12/512008 12/512009 PREMISES Ea occurence $ 100,00 <br /> CLAIMS MADE 1 <br />k] OCCUR MED EXP (Any one person) $ EXCLUDE <br /> PERSONAL & ADV INJURY $ 1,000,00 <br /> GENERAL AGGREGATE $ 2,000,00 <br /> GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 <br /> X POLICY PRO- LOC <br /> AUT OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br /> <br />ANY AUTO <br />(Ea accident) $ <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br /> <br />NON-OWNED AUTOS <br /> <br />(Per accident) $ <br /> PROPERTY DAMAGE <br /> <br />(Per accident) $ <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> 1 OCCUR FICLAIMS MADE AGGREGATE $ <br /> $ <br /> DEDUCTIBLE $ <br /> RETENTION $ - -- - - $ - <br /> WORKERS COMPENSATION AND WC STATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ _ <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br />SPECIAL PROVISIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br /> OTHER <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />Colorado Division of Minerals & Geology <br />1313 Sherman Room 215 <br />Denver, CO 80203-0000 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILLANN )OMAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FULMANNY41alll( SHALL <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />AUTHORIZED REPRESENTATIVE <br />
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