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r� <br /> DATE(MMIDDIYYYY) <br /> �► CERTIFICATE OF LIABILITY INSURANCE 041134,2011 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,`EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND'THE CERTIFICATE HOLDER. I <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the <br /> terms and conditions of!the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> CONTACT <br /> PRODUCER NAME: <br /> Parker,Smith&Feek,Inc. PHONE 42 D9-3600 FAX, <br /> allo:425-709-7460 <br /> 2233 112th Avenue NE E-MAILADDRESS: <br /> Bellevue,WA 98004 PRODUCER <br /> c <br /> - INSURER S( y AFFORDING COVERAGE NAiC N <br /> INSURED INSURER A:Zurich American Insurance CO. <br /> WDC Exploration&Wells " <br /> INSURER B.Steadfast Insurance Company <br /> 1300 National Drive,Suite 140 <br /> Sacramento CA 95834 INSURER c: <br /> INSURER D• ' <br /> INSURER E, <br /> INSURER F: - <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY;PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN,IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> IN—SRADDL UB POLICY EFF POLICY EXP. - LIMITSTYPE OF INSURANCE POLICY NUMBER MMIDD <br /> A GENERAL LIABILITY GLO904744605 4/1/2011 4/1/2012 EACH OCCURRENCE _ S . <br /> X COMMERCIAL GENERAL LIABILITY r - Pwr <br /> REMISES Ea ocrence S <br /> CLAIMS-MADE I x j;OCCUR I - MED EXP(Ahy one parson} S <br /> Fes_ <br /> PERSONAL A ADV INJURY ; <br /> - GENERAL AGGREGATE ; 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S <br /> POLICY X PRO-JECT X LOC - $ <br /> AUTOIPOBILELIABILITY BAP9047450054/1/2011 4/1/2012 COMBINED SINGLE LIMIT $ 1,01313,000 <br /> {Ee ecciderrt} <br /> A <br /> IX ANY AUTO F F- - EODILY INJURY(Per person) S <br /> ALL OWNED AUTOS BODILY INJURY(Per accident) S <br /> SCHEDULED AUTOS PROPERTY DAMAGE S <br /> HIRED AUTOS (Per accident) <br /> NO"VMED AUTOS ; <br /> $ <br /> I 13 uMBRELLALIAe HX occuR SE0904745305 4/1/2011 41112012. EACH OCCURRENCE. $ 10,000,000 <br /> X EXCESS LIAR CLAIMS-MADE AGGREGATE $ .10,000,000 <br /> DEDUCTIBLE I $ <br /> $ <br /> X RETENTION ; WC STATU OTH- <br /> VMRKERSCOMPENSATroN WC904756805 4/1/2011 4/1!2012 X T IRS' ER_ <br /> A AND EMPLOYERS'LIABILITY YIN <br /> ANY PROPRIETORIPARTNEWEXECUTIVE N IA r E.L.EACH ACCIDENT. S 1,000,000 <br /> OFFICERIMEMBER EXCLUDED'r I - <br /> I'Mantlatory In NHL E.L.DISEASE-EA EMPLOYE $ 1,000,000 <br /> yes,describe unbar E.L.DISEASE-POLICY LIMIT $SEE DO <br /> B Pollution Liability F F- CPL904745205 4/1!2011 4/1/2012 1$1,000,000 Each Claim <br /> $1,000,000 Aggregate <br /> DESCRIPTION OF OPERATIONSI LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks schedule,If mote space Is required) - <br /> EXHIBIT OF INSURANCE- <br /> i` CERTIFICATE HOLDER " CANCELLATION <br /> ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> EXPIRATION DATE THEREOF,NOTICE WILL_BE DELIVERED IN ACCORDANCE WITH THE <br /> POLICY PROVISIONS. <br /> FOR BIDIPREQUALIFICATION AUTHORIZED REPRESENTATIVE <br /> PURPOSES ONLY <br /> ©1988-2009 AGORD CORPORATION. All rights'r:served. <br /> ACORD 2S(2009/09) The ACORD name and load are reaistered marks of ACORD <br />