2008-08-11_PERMIT FILE - C1992080 (2)

Home Browse Search

vI'1f�1�G1 \C - V 1 1\CLC A O D DATE (MM/DD/YYM . CERTIFICATE OF LIABILITY INSURANCE 11/27/2007 PRODUCER (940) 723 -0771 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allred Thompson Mason Daugherty Ins ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P Box 1071 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ita Falls, TX 76307 -1071 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Oakridge Energy Inc; Pueblo Mining Inc INSURER A: Mid - Continent Casualty Co. 4613 Jacksboro Highway INSURER B: Texas Mutual Insurance Co. Wichita Falls, TX 76302 - INSURER C: INSURER D: 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. INSR ADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 04GL000697848 12/5/2007 12/5/2008 EACH OCCURRENCE $ 1 1000100 PREMISES Ea occure $ 100,00 MED EXP (Any one person) $ EXCLUDE CLAIMS MADE X OCCUR PERSONAL 8 ADV INJURY $ 1 , 0 00,00 GENERAL AGGREGATE $ 2 GEML AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP /OP AGG $ 2 ,000,00 AUTOMOBILE LIABILITY A X ANY AUTO 04CA002757212 12/512007 12/5/2008 COMBINED (a acci dent) 1NGLE LIMIT $ 1,000,00 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESSIUMBRELLA LIABILITY X OCCUR F] CLAIMS MADE 04XS152679 12/5/2007 12/5/2008 EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1 DEDUCTIBLE X RETENTION $ 10,000 $ WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? H es, describe under SPECIAL PROVISIONS below SBP0001027321 7/14/2007 7/14/2008 _ _ I X WC STATT OTH- E.L. EACH ACCIDENT $ 1 , 00 0,00 E.L. DISEASE - EA EMPLOYE $ 1 E.L. DISEASE - POLICY LIMIT $ 1,000,00 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Carbon Junction Coal Mine, Durango, Colorado Permit #C -92 -080 Colorado Division of Minerals 81 Geology 1313 Sherman, Room 215 Denver, CO 80203- ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER W1LIJX&JXXYY&6b MAIL 3 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, LL AUTHORIZED (c) ACnRn rnRP(1RATInk1 1ORA