2013-01-23_REVISION - C1992080 - Laserfiche WebLink

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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 DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POUCY NUMBER POLICY EFF IMM/DDNYYY► POLICY EXP (ApWDDIYYYY) UNITS A GENERAL X LIHBIUTY COMMERCIAL GENERAL LIABOJEY 04GL000864066 12/5/2012 12/5/2013 EAci occuRRENcE $1,000,000 PREMISES (Ea occurrence) $ LIED EXP (Any one person) $ Exduded CLAIMS -MADE IX I OCCUR PERSONAL 8 ADV INJURY $1 ,000,000 GENERAL AGGREGATE 52,000,000 PRODUCTS - COMP/OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ri .7,9,-- Fl LOC � $ AUTOMOBIl X — LJABtiJTY ANY AUTO ALL OWNED AUTOS HFLED AUTOS SCHEDULED NON -OWNED AUTOS 04CA002792947 12/5/2012 12/5/2013 Ca accident) I L $ BODILY INJURY (Per person) $1,000,000 BODILY INJURY (Per accident) $1,1X10,000 PROPERTY DAMAGE (Per accident) $ $ A X LAMELLA LIAR EXCESS LIAB _ OCCUR CLAIMS -MADE 04XS178960 12/52012 12/5/2013 EACH OCCURRENCE $1,000,000 AGGREGATE $1.000,000 s DED X I REIENnION$10,000 g WORKERS COMPENSATION AND EMPLOYERS' UABLITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/HEMEER EXCLUDED? (Mandatory in NH) r describe under DESCRIPTION OF OPERATIONS bebw P4/ A SBP0001027321 7/142012 t/14/2013 WC STATU- 1 10TH TORY LIMITS I 11 ER E.L EACH ACCIDENT $1000,000 E L DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY UNIT $1,000,000 DESCRW TION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (*Mach ACORD 1111, Additional Remarks Schedule, It more space is required) Colorado Division of Reclamation ,4ccm o® CERTIFICATE OF LIABILITY INSURANCE 12 AT E (MI 2 DD/Y ) I 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 OAKRI I CONTACT Sylvia York PHONE v(AIC.. No. Exo:940- 723 -0771 FAX No):940- 723-5309 �E SssyorkOhigginhotham.net INSURER(S) AFFORINNG COVERAGE NAIC tt INSURER A Mid-Continent Insurance Company INSURER B :Texas Mutual Ins11rancP Company INSURER C 97945 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE HOLDER ACORD 25 (2010105) Savage & Savage 4610 Haystack Drive Windsor CO 80550 CERTIFICATE NUMBER: 1571729151 CANCELLATION REVISION NUMBER: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED R RESENTATNE ©19882010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -