GENERAL35816

• Permit No: C1984063
• IBM Index Class Name: General Documents
• Doc Date: 9/5/2007
• Doc Name: Certificate of Insurance
• To: DRMS
• Permit Index Doc Type: Insurance
• Media Type: D
• Archive: No

MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
HOU-000654096-07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA, IDC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
112 East Pecan, Suite 2625 POLICY. THIS CERTIFICATE DOES NOT 4MEND, E%TEND OR ALTER THE COVERAGE
San Antonio, 7X 78205 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
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.COVERAGES This certificate superseCesandteplaces any previously issued certificate+foF the~policy~period noted below. -r 0- 'I~-
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTNITHSTANDING ANV REpU1REMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAV BE ISSUED OR MAV
PERTAIN, THE INSURANCE AFFORDED BV THE PoLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS ANO EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POl1CY EXPIRATION LIMITS
LTR --- _ ._. ~ OATSIMMIDDIYYI OATE.(MMIDDr9Y) _ __
(~ GE NERAL LIABILITY PMDG23857819 09!01/07 09/01/08
GENERAL AGGREGATE
$ 2,000.000
X CAMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000
CLAIMS MADE OCCUR PERSONALBADV INJURY S 1,000,000
OWNER'SBCONTRACTOR'S PROT EACH OCCURRENCE $ 1.000,000
FIRE DAMAGE (Any one (re) $ 100,000

MED E%P An one rson $ 5,000
B AUT OM08LLE LIABILITY pMUH08301219 09/Oi107 09/07/OS
1
000
COMBINED SINGLE LIMIT ,
.000
$
X ANV AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
NON-0WMED AUTOS (Per accident)
PROPERTY DAMAGE

GARAGE LIABILITY ALRO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN AUrO ONLY:
EACH gCCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM S
C WORKERS COMPENSATION AND
EMPLDYERS'LIABIIJTY TSF-0001106548 0$/14/07 05/14/08 X D
TORY LIMITS ER -
EL EACH ACCIDENT S 1,000,000
THE PROPRIETOIL INCL EL DISEASE-POLICY LIMIT S 1,000,000
PARTNERS/EXECUTIVE
OFFICERS ARE:
EXGL
EL DISEASE-EACH EMPLOYEE
S 1.000,000
T R
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS
Certificate holder is named additional insured as required by written contract with respects to general liability and auto liability coverages. Waiver of
Subrogation is inGuded in favor of certifcate holder with respects to general liability and auto liability coverages.
CERTIFICATE HOLDER - CANCELLATION: ~ ~ -~°""
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE E%PIRATION GATE THEREOF.
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ~0 OAY$ WRITTEN NOTICE TO TXE
Division of Minerals & Geology

Attn: Mr. Byron Walker CERTIFICATE HOLDER NAMEn HEREIN. BUT FAIWRE t0 MAIL SUCX NOTICE SHALL IMPOSE NO OBLIGATION OR
1313 Sherman Street LNBILITY OF qNV KIND UPON THE INSURER AFFORDING COVERAGE ITS AGENTS OR REPRESENTATNES, OR THE
Denver
CO 80203
, ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
~` ~
BY: Richard D. Jeter awl
MMi(3102), ~ _ VALID AS OF: 08/30/07