2009-09-09_GENERAL DOCUMENTS - C1984063

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??1 w DATE(MM/DD/YYYY) -4?°12O CERTIFICATE OF LIABILITY INSURANCE 09/02/2009 PRODUCER Aon Risk services southwest, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ? Aon Houston TX office 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 PHONE-(866) 283-7122 -(847) 953-5390 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: ACE American Insurance Company 22667 Abraxas Petroleum Corporation INSURER B: 18803 Meisner Dr. San Antonio Tx 78258 USA ?Cgs INSURER C: R D: INSURER E: ?wcn mince _4C vTHE POLICIES OF INSURANCE LISTED BELOW 'AV Z D TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OMVOWCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY ANY REQUIREMENT , 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 BNSR LTR ADD' INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MM/DD/YYYV DATE MM/DD/YYYY '4 RALLIABILTTV PMDG24652361002 09/01/2009 09/01/2010 EACH OCCURRENCE $1,000,000 - COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100,000 R PREMISES (Ea occurrence) CLAIMS MADE ® OCCUR MED EXP (Any one person PERSONAL & ADV INJURY $1,000,000 0 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $2,000,000 O- LOC ?X POLICY ? JE 1:1 A AUTOMOBILE LIABILITY PMU H084 1340A-002 09/01/2009 09/01/2010 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 H (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN EA ACC H AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE ? OCCUR ? CLAIMS MADE AGGREGATE - - -- DEDUCTIBLE B --- - - - - - - '- - RETENTION C STATU- 1 OTH- WORKERS COMPENSATION AND 1". RY EMPLOYERS' LIABH.rFY ?LN I I E.L. EACH ACCIDENT ?,J ANY PROPRIETOR / PARTNER / EXECUTIVE DISEASE-EA EMPLOYEE E L OFFICER/MEMBER EXCLUDED? . . (Mandatory in NH) E.L. DISEASE-POLICY LIMIT If es, describe under SPECIAL PROVISIONS 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. L d ew G ^o r-i Q 0 x m N MLM O O O z CO it L d U LIA S 14 -4 CERTIFICATE HOLDER UAIVI:LLLAIIUIN Dl vision 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 1313 Sherman street 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Denver co 80203 USA BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE doss . c7wtself.+ _10.- (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserve The ACORD name and logo are registered marks of ACORD