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2011-09-12_GENERAL DOCUMENTS - C1984063
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2011-09-12_GENERAL DOCUMENTS - C1984063
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Last modified
8/24/2016 4:43:05 PM
Creation date
9/12/2011 8:14:10 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1984063
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
9/12/2011
Doc Name
Certificate of Liability Insurance
From
John L. Wortham & Sons
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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CERTIFICATE ADDENDUM <br />NAMED INSURED: <br />Abraxas Petroleum Corporation <br />18803 Meisner Drive <br />San Antonio TX 78258 <br />CERTIFICATE HOLDER: <br />Division of Minerals and Geology <br />Attn: Mr. Byron Walker <br />1313 Sherman Street <br />Denver CO 80203 <br />DATE ISSUED <br />/6/2011 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, WE WILL ENDEAVOR TO <br />MAIL 60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER(S) NAMED ON THIS CERTIFICATE, EXCEPT FOR NON - PAYMENT OF <br />PREMIUM OR ANY OTHER CIRCUMSTANCE PERMITTED BY STATE LAW OR POLICY CONDITIONS. FAILURE TO DO SO SHALL IMPOSE NO <br />OBLIGATION OR LIABILITY OF ANY KIND UPON US. <br />CERTIFICATE ADDENDUM <br />ecertsonlinel <br />CERT NO.: 11069607 CLIENT CODE: 10AHRAXPET (HOU) Lillian Wright 9/6/2011 9:37:17 AM Page 2 of 2 <br />
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