2009-10-01_GENERAL DOCUMENTS - C1980006 (2)

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ACORD CERTIFICATE OF LIABILIT /YY Y INSURANCE CSR z5 DATE (MM/ 0 9 ENERG-1 09 30/09 PRODUCER Brown & Brown Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 675 Snapdragon Way Ste 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 772967 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Steamboat Springs CO 80477-2967 Phone: 970-879-1363 Fax: 970-879-0239 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Arch Insurance Com ar). _ 1150 Ener F l C ti INSURER B: \V LC . ) gy ue s orpora on Lindsay Yates INSURER C: PO Box 773457 Steamboat Springs CO 80477-3457 INSURER D: INSURER E: na Safety THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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. AG-REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR ?INSR TYPE OF INSURANCE POLICY NUMBER POLI Y EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1"000`000 A X COMMERCIAL GENERAL LIABILITY CSPKGO0243-01 10/01/09 10/01/10 PREMISES(Eaoccurence) $ 100,000 CLAIMS MADE a OCCUR - - MED EXP (Any one person) $5,000 - PERSONAL &ADV INJURY 000 $ 1 000 , , GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODUCTS - COMP/OP AGG , , s2,000,000 X POLICY - LOC JECT 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) ' PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ H ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I OCCUR ? CLAIMS MADE AGGREGATE $ $ L L 2 DEDUCTIBLE $ RETENTION , $ $ WORKERS COMPENSATION AND TORY LIMITS ER 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 $ OTHER DES::RIPTION 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. L ANI.tLLA I IUN Colorado Division of Reclamati Mining and Safety 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988