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<br />Attachment to ACORD Certificate for GCC Energy, LLC <br />' The terms, conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage <br />afforded by the insurer(s). This attachment does not contain all terms, conditions, coverages or exclusions contained in the policy. <br />INSURED <br />GCC Energy, LLC <br />4424 County Road 120 <br />Hesperus CO 81326 USA <br />ADDITIONAL POLICIES <br />INSURER <br />INSURER <br />INSURER <br />INSURER <br />If a policy below does not include limit information, reter to the corresponding policy on me t,.wiw <br />certificate form for policy limits. <br /> <br /> <br />INSR <br />LTR <br />ADD'L <br /> <br />INSRD <br /> <br /> <br />YPE OF INSURANCE <br />POLICY NUMBER <br /> <br />POLICY DESCRIPTION POLICY <br /> <br />EFFECTIVE <br />DATE POLICY <br /> <br />EXPIRATION <br />DATE <br /> <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEIUCLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Re: OSM Permit co-0106; C:DRMS Permit Co-1981-035. <br />Colorado Division of Reclamation, mining & safety is named as an Additional Insured as required by <br />written contract but limited to the operations of the insured under said contract, and always subject to <br />the policy terms, conditions and exclusions. <br />Certificate No : 570026240316