2016-11-22_GENERAL DOCUMENTS - C1981028

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ACC)IR "�CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DI31r2o1DDIYYYY) s 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(les) 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 MARSH USA INC. 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 Attn: NewYork.Certs@marsh.com Fax: 212-948-0500 CONTACT NAME: PAH/ONE o Ext): A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # 11/01/2016 INSURER A: ACE American Insurance Company 22667 EACH OCCURRENCE $ 1,000,000 INSURED Molson Coors Brewing Company Coors Energy Company INSURER B : N/A NIA INSURER C: N/A NIA INSURER D : 1801 California Street, Suite 4700 Denver, CO 80202 INSURERE: A A INSURER F : LIABILITY ANY AUTO ALL OWNEDSCHEDULED ' AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS COVERAGES CERTIFICATE NUMBER: NYC -008589252-01 REVISION NUMBER -2 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. ILTR TYPE OF INSURANCE AND WVD SUER POLICY NUMBER MM/DDY� POLICY M DDIYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE xJ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER:GENE' POLICY E PRO LOC �- X JECT OTHER: of Marsh USA Inc. i IHDO G27859859 11/01/2016 11/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence s 1,000,000 MED EXP (Any one person) S 50,000 - _--1-00060 RAL AGGREGATE s 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 $ A A 1 AUTOMOBILE X LIABILITY ANY AUTO ALL OWNEDSCHEDULED ' AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS EISA H09052033 (AOS) ISA H09052045 (CO, PR) 11/01/2016111101/2017 11/01/2016 I 11/01/2017 COMBINED SINGLE LIMIT $ 3,000,000 Ea accident I _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EXCESS LIAB HCLAIMS-MADE 1 EACH OCCURRENCE $ AGGREGATEP1 $ DEO RETENTION $ Is !WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑� I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A I PEROTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S I I i DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: Keenesburg Mine CERTIFICATE HOLDER CANCELLATInN Colorado Division of Reclamation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mining and Safety THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1313 Sherman Street, Room #215 ACCORDANCE WITH THE POLICY PROVISIONS. Denver, CO 80203 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. i ManashiMukherjeeiapvicac.x @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD