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<br />ACORD. CERTIFICAIgEW. Y INSURANCE 12/12 DATE /2007 <br />lz/12oo? <br /> y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Aon Risk Services of Texas, Inc Q <br />0 ?oou AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS <br />1330 Post Oak Blvd. MAR <br />Suite 900 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Houston TX 77056-3089 USA. n Of OCI,:i1Mat10 <br />; COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> O <br />and Safety <br /> 3 9 <br />X INSURERS AFFORDING COVERAGE NAIC # <br />PHONE-(866) 283-7122 FAX 5390 <br />847 <br />95 <br />INSURED INSURERA: National. union-Fire Ins co of Pittsburgh 19445 <br />GCC Energy, LLC <br />20 <br />d INSURERB: Liberty insurance underwriters, Inc. 19917 <br />4424 County Roa <br />1 <br />Hesperus CO 81326 USA INSURER C: <br /> INSURER D: <br /> INSURER E: <br />C E <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 MAY <br />PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR D' <br />INSRII <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br /> <br />DATE(MMODWY) POLICY EXPIRATION <br /> <br />DATE(MM\DD\YY) <br />LIMITS <br />A GENERAL LIABILITY GL 4807161 09/01/07 09/01/08 EACH OCCURRENCE $1,000,000 <br /> X COMMERCIAL. GENERAL LIABILITY DAMAGE TO RENTED $50,000 <br /> PREMISES (Ea occauence) <br /> CLAIMS MADE ® OCCUR D y one person <br /> PERSONAL 8r. ADV INJURY $1,000,000 <br /> GENERAL AGGREGATE $2,000,000 <br /> <br /> GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO <br />$2,000,000 <br /> PRO- <br />X POLICY <br />LOC <br />- <br /> ? <br />? <br />1 <br />1 <br />JECT <br />A AUTOMOBILE LIABILITY CA 4806652 09/01/07 09/01/08 COMBINED SINGLE LIMIT <br /> X ANY AUTO (Ea accident) $1,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> X SCHEDULED AUTOS ( Per person) <br /> X HIRED AUTOS <br />BODILY INJURY <br /> NON OWNED AUTOS (Per accident) <br /> 71 11000 Coll Ded PROPERTY DAMAGE <br /> B <br /> <br />I $1000 Comp Ded (Peraccident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT <br /> 8 ANY AUTO OTI-IER THAN EA ACC <br /> - <br />AUTO ONLY :. <br /> AGO <br />B EXCESS /UMBRELLA LIABILITY LQ187118356504 09/01/07 09/01/08 EACH OCCURRENCE <br /> U <br />b <br />ll <br />i <br />bili <br />i <br /> <br />El OCCUR ? CLAIMS MADE- m <br />re <br />a L <br />a <br />ty Pr <br />mz <br />AGGREGATE. <br />$10,000,000 <br /> Products/Completed o $10,000,000 <br /> <br /> DEDUCTIBLE <br /> RETENTION <br />A WORKERS COMPENSATION AND WC7208 38 09/01/07 X WC STATU- OTH- <br /> ' LIMIT E <br /> EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBER EXCLUDED? E <br />L <br />DISEASE EA EMPLOYEE 000 <br />000 <br />$1 <br /> . <br />. , <br />, <br /> If yes, describe under SPECIAL PROVISIONS E.L. DISEASE-POLICY LIMIT $1,000,000 <br /> below <br /> OTHER <br />t <br />DESCRIPTION OF OPERATIONS/LACATIONSNEMCLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />See Attached: <br /> <br />CERTIFICATE HOLDER CANCELLATION <br />Office of surface mining <br /> <br />Western Regional Coordinating SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI LF.D BEFORE THE EXPIRATION <br />DATE THEREOF <br />THE ISSUING INS <br />RER <br /> <br />PO BOX 46667 , <br />U <br />WILL END&WgRTo MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Denver CO 80201-6667 USA <br />":r"'"° F <br /> AUTHORIZED REPRESENTATIVE <br /> '1 ry <br />7'i4Aa6 7?C01? .rriC4'L4/rCd `?' IC.'GC7,4. ?ro9G. I <br />ACORD 25 (2001/08) <br />ACORD <br />CORPORATION <br />198811 <br />w. <br />G <br />^o <br />,fl <br />0 <br />et <br />M <br />M <br />O <br />N <br />tD <br />N <br />O <br />O <br />n <br />Ln <br />22 <br />N