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1' 1 <br /> <br />Attachment to ACO" 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 />INSURER <br />INSURER <br />ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD <br />certificate form for policy limits. <br /> <br />INSR LTR <br />LTR ADD'L <br />INSRD <br />TYPE OF INSURANCE POLICY NUMBER <br />POLICY DESCRIPTION POLICY <br />EFFECTIVE <br /> <br />DATE POLICY <br />EXPIRATION <br /> <br />DATE <br /> <br />LIMITS <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />DESCRIPTION OF OPERATIONS/1.OCATIONSNEHICLES/HXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />Re: OSM Permit CO-0106; CDRMS Permit C0-1981-035. <br />office of surface mining western Regional coordinating 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 />BI & PD Coverage <br />XCU Exclusion does not apply <br />Certificate No : 570026240334