2013-12-05_GENERAL DOCUMENTS - C1981028

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'°«vMUrM CERTIFICATE 4F LIABILITY INSURANCE INSURANCE, tn/zot4 DATE {MRV12013Y) 10/29/2013 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 Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414 -6000 NA E: FAX A/ No F11; A/C No): E l LIMITS A INSURER A: ACE American Insurance Company 22667 INSURED Molson Coors Brewing Company 1030130 Coors Energy Company 311 10th St., Suite 400 Golden, CO 80401 INSURER B: 11/1/2013 INSURER C EACH�OECCURRENCE INSURER D: PREMISES Eaoo�cuErrOerwe XXXXXXX MED EXP (Any one person) 5,000 PERSONAL & ADV INJURY COVFRAGFS M( 11 .('( )111 CFRTIFICATF NI IMRFR• 1 AZ0071 ocvrcrnu w luoce. V V V V V V V 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE ADDL SUBR WyD POLICY NUMBER P CY F POLICY EXP mwDDrryyyi LIMITS A GENERAL LIABILITY X CDMMERCIALGENER4LLIABILITY CLAIMS -MADE I OCCUR X Vendors N N OGLG25700983 11/1/2013 11 :1/2014 EACH�OECCURRENCE 2,000,000 PREMISES Eaoo�cuErrOerwe XXXXXXX MED EXP (Any one person) 5,000 PERSONAL & ADV INJURY S 2,000,000 X S 1 00,000 SM GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PR P I 7 LOC I PRODUCTS • COMPIOP AGG s 2,000,000 S A AUTOMOBILE LIABILITY X ANY AUTO EE ALL ED SCHEDULED AUTOS X HIRED AUTOS AUTOSWNE O N N CALHO8610319 II/l/2013 11/1/2014 E,MaccidDISINGLELIMIT s 2,000,000 BODILY INJURY (Per person) S XXXXXXX BODILY INJURY (Per accident S XXXXXXX PPeOPPER, Y DAMAGE $ XXXXXXX $XXXXXXX UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE S XXXXXXX AGGREGATE $ j(}{j(}(xxx DED I I RETENTION S S AND EMPLOYERSELWBIL�TY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ fMYyaeendamty in NH) DESCRIPnTIOM p OF U1. NIA HOT APPLICABLE WC g U TORY LIMITS OTH• FIR E.L. EACH ACCIDENT S XXXXXXX E.L. DISEASE -EA EMPLOYEE XXXXXXX E.L. pISEASE- POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES !(Attach ACORD t01, Additional Remarks Schedule, If more space Is required) RE: Keenesburg Mine, vin r rrrvn r c nv�.�r =n I,.RIV4tLL/i ! I VIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1439971 AUTHORIZED REPRESENTATIVE Colorado Division of Reclamation Mining and Safety 1313 Sherman Street, Room #215 Denver CO 80203 roc � � I:►'r ACORD 25 (2010/05) @10842010ACORDCORPOICATION. All rights reserved The ACORD name and logo are registered marks of ACORD