2011-07-15_GENERAL DOCUMENTS - C1992080

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THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL INSR SUBR MD D POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY 04GL000807841 12/5/2010 12/5/2011 EACH OCCURRENCE $1,000,000 PR (Ea occurrence) $100,000 MED EXP (Any one person) $Excluded CLAIMS -MADE X OCCUR PERSONAL &ADV INJURY $1, 000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2, 000,000 GEN'L AGGREGATE LIMIT APPLIES 7 POLICY F IFCT X PEft LOC $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _T SCHEDULED AUTOS NONPROPERTY NON-OWNED U O AUTOS 04CA002780714 12/5/2010 12/5/2011 FaMB�I, LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE (Per accident) $ $ A X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 04XS169486 12/5/2010 12/5/2011 EACH OCCURRENCE $1,000,000 AGGREGATE $1, 000, 000 $ DED X RETENTON$10'000 —ANY-PROPRIETOR/PARTNER/EXECUTIVE- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E yes, describe under DESCRIPTION OF O PERATIONS below Y / N S BP0001027321 7/14/2011 7/14/2012 --E.L X WCSTATU- 0TH - TORY I IMITS ER EACH ACCIDENT- $1,000,000 —E.L E.L DISEASE - EA EMPLOYEE $1, 000,000 /A EL DISEASE - POLICY LIMIT $1, 000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Carbon Junction Coal Mine, CDRMS Permit #C -92 -080, Ewing Mesa, La Plata County, Colorado RE C`i9s /� Certificate Holder will be given 30 day Notice of Cancellation. /' �0 30 DNOC - 10 Non -Pay. J(Z 7 Di f k 2O/ Q m „ e a r ACOR0 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Allred- Thompson- Mason - Daugherty Ins. A Division of Higginbotham Agency 1300 Tenth Street Wichita Falls TX 76301 INSURED Oakridge Energy Inc 4613 Jacksboro Hwy Wichita Falls TX 76302 OAKRI1 CONTACT NAME: Shawn Blacklock PHONE (A/C. No. Ext):94 0 - 72 3 - 0 771 E -MAIL ADDREss:apmorgan ® higginbotham. net DATE (MM/DD/YYYY) 7/13/2011 FAX No1:940- 761 -5280 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:M1 Cont inent Insurance Company 1 an - • r • INSURER B :T - X INSURER C : an INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE HOLDER CERTIFICATE NUMBER: 276315392 Colorado Division of Reclamation, Mining & Safety 1313 Sherman, Room #215 Denver CO 80203 CANCELLATION AUTHORIZED REPRESENTATIVE REVISION NUMBER: aitif SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-201 r CORD CORPORAT • AU rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD