Laserfiche WebLink
DATE (MMIDOMM) <br />�aRo CERTIFICATE OF LIABILITY INSURANCE , irlrzol6 10r30/2015 <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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the 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 />PRODUCER Lockton Companies NAMEA. <br />8110 E Union Avenue PHONE Fax <br />AfC Na ; <br />Suite 700 E-MAIL <br />Denver CO 80237 ADDRESS; <br />(303) 414-6000 INSURER §) AFFORDING COVERAGE NAICX <br />INSURED Molson Coors Brewing Company INSURER B. <br />1030130 Coors Energy Company INSURER G <br />1801 California Street, Suite 4700 INSURER D <br />Denver, CO 80202 <br />INSURER E <br />COVERAGES MOLCO01 CERTIFICATE NUMBER: 1439971 <br />REVISION NUMBER: <br />XXXXXX <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 REOUIREMENT, 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 />I <br />I <br />INSR TYPE OF INSURANCE POLICY F P OY P <br />LTR POLICY HUMBER D <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />A X H N OGLG257 983 ll�l62D15 II�PiRDl6 <br />EACH OCCURRENCE <br />S 2.000,000_.___.._ <br />CLAIMS -MADE 1:10 OCCUR <br />PREMISES Ea ^ <br />S XXXXXXX <br />X Vendors <br />MED EXP t ® r^ <br />s 5 000 <br />X-IOO,l10a SIR <br />PERSONAL b ADV INJURY <br />OOO <br />S Z000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />s 2 000 000 <br />POLICY W � PRO-JECT0 LDC <br />W, <br />PRODUCTS ®COMPiOP AGG <br />S 2000000 <br />OTHER <br />S <br />A AUTOMOBILE LIABILITY N N CALHO8610319 1I1162015 I VIP-016OM <br />IN 1 , LIMI -LEas$ <br />2„000 000 <br />XANY AUTO <br />BODILY INJURY (Perperson) <br />$ }(}(}(}(xxx <br />AALLOOS EO SCHEDULED <br />AUTOS <br />BODILY INJURY (Per acdders) S XXXXXXX <br />X HIREDAOS X ALOITNOSED <br />PRxa denl�MAGE <br />S XXXXXXX <br />s XXXXXXX <br />UMBRELLA UAB OCCUR NOT APPLICABLE <br />EACH OCCURRENCE <br />S XXXXXXX <br />EXCESS LIAR CLAIMS -MADE <br />AGGREGATE <br />S XXXXXXX <br />DECO I I RETENTIONS I <br />S xxxxxxx <br />WORKERS COMPENSATION NOTAPPLICABLESTAT <br />ERH <br />AND EMPLOYERS° LIABILI Y Y I N <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />E.L. EACH ACCIDENT <br />$ XXXXXXX <br />OFFICE EMBER EXCLUDED? N I A <br />IMandatory In NH) <br />E.L. DISEASE- EA EMPLOYEE <br />$ XXXXXXX <br />I} yes, desefi under <br />DESCRIPTION OF OPERATIONS below <br />E DISEASE - POLICY LIMIT <br />$ XXXXXXX <br />DESCRIPTION OF OPERATIONS ! LOCATIONS I VEHICLES JACO 161, Addiflonal Rernarks Schedule, way be attached of mom space Is required) <br />CERTIFICATE HOLDER CANCELLATION <br />1439971 <br />Colorado Division Of Reclamation <br />Mining and Safety <br />y <br />1313 Sherman Street, Room #215 <br />SHOULD ANY OF THE ABOVE SC 1 POLICIES BE CANCELLED E RE <br />E EXPIRATION A THEREOF, CE WILL DELIVERED I <br />ALSO RACE WITH THE POLICY PROVISIONS. <br />Denver CO 80203 <br />AUTHORt= REPM7 <br />I <br />I <br />®198832 14 ACORD CORPOF&TION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />