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7 op <br /> <br />ACCoR EP CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <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. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NAME <br />Crystal & Company PHONE FAX <br />Crystal IBC LLC IA/C. No Extv 800-221-5830 (AJC No); 800-383-1852 <br />E-MAIL 32 Old Slip ADDRESS: <br />New York NY 10005 INSURER(S) AFFORDING COVERAGE NAIC re <br />INSURER A; ACE American Insurance Co 22667 <br />INSURED CASCDR <br />INSURER B: ACE Fire Underwriters Insurance Company 20702 <br />Cascade Drilling, LP <br />22722 29th Drive SE; Suite 228 INSURER C : Allied World Assurance Company (U S ) I 19489 <br />Bothell, WA 98021 INSURER 0: Lloyd's of London <br />INSURER E: <br />INSURER F : <br />COVERAGES <br /> <br />CERTIFICATE NUMBER: 1240978239 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 />INSR <br />LTR TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />AND POLICY NUMBER <br />POLICY EFF <br />IMM/DONYTY) <br />POLICY EXP <br />IMM/00/YYTY1 LIMITS <br />D X COMMERCIAL GENERAL LIABILITY <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />11/1/2018 <br />11/1/2018 <br />11/1/2019 <br />11/1/2019 <br />Each Poll Incident <br />Excess Occurrence <br />Excess Aggregate <br />1,000,000 <br />$10,000,000 <br />$10,000,000 <br />DESCRIPTION OF OPERATIONS! LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) <br />GENERAL LIABILITY Additional Insured status when required by written contract (GAP1028 6/1/2016, GAP1004 6/1/2016); Additional Insured <br />Pnmary/Non-Contnbutory Amendatory when required by wntten contract (GAP1305 6/1/2016) Waiver of Subrogation when required by written contract <br />(GAP1030 6/1/2016). <br />AUTOMOBILE: Additional Insured status when requited by written contract (DA9U74c 0316); Primary/Non-Contributory when required by wntten contract <br />(DA21886b 0614); Waiver of Subrogation when required by written contract (CA0444 1013) <br />See Attached... <br />CERTIFICATE HOLDER <br /> <br />CANCELLATION <br />Cascade Drilling, L.P. <br />17270 Woodinville-Redmond Road <br />Building "A" <br />PO Box 1184 <br />Woodinville, WA 98072 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Cc) 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD