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Acosta►® CERTIFICATE OF LIABILITY INSURANCE 11/1/2016 <br />DATE(MMIDOIYYYYI <br />10/30/2015 <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(ies) must be endorsed. If SUBROGATION IS WANED, 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 <br />8110 E Union Avenue <br />Suite 700 <br />Denver CO 80237 <br />NT CT <br />HAM A <br />PHONE FAX <br />INC. No. Extiq A/C No): <br />E-" L <br />ADDRESS; <br />INSUR S AFFORDING COVERAGE NAIC0 <br />(303)414-6000 <br />INSURER A: ACE American Insurance Comps 22667 <br />EACH OCCURRENCE s 2,000,000 <br />INSURED Molson Coors Brewing Company <br />1030130 Coors Energy Company <br />INSURER B : <br />INSURER C: <br />1801 California Street, Suite 4700 <br />Denver, CO 80202 <br />INSURER D: <br />INSURER E: <br />INSURER F - <br />A <br />COVERAGES MOLCODI CERTIFICATE NUMBER: 1439971 REVISION NUMBER-- XXXXXXX <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 />TR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />P LICY EF <br />POLICY EXP <br />LIMITS <br />A <br />X COMMERCULLGENERALLJABILITY <br />CLAIMS -MADE a OCCUR <br />X Vendors <br />X $ 100,000 SIR <br />N <br />N <br />OGLG25700983 <br />11/12015 <br />ll/l/2016 <br />EACH OCCURRENCE s 2,000,000 <br />PREMISES Es occurrence) S XXXXXXX <br />MED EXP (AM oneperson) S 5.000 <br />PERSONAL d ADV INJURY S 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY a PRO- <br />JECT F-� LOC <br />ROTHER <br />GENERAL AGGREGATE S Z 000 000 <br />PRODUCTS-COMP/OPAGG S 2,000,000 <br />S <br />A <br />AUTOMoelDruaeILITYN <br />x ANY AUTO <br />ALLOOLSMJED SCHEDULED <br />X HIREDAUTOS X AUTOS NON -OWNED vvN£D <br />I <br />N <br />CALHO8610319 <br />11!12015 <br />11112016 <br />Eee¢dant I LIMI s 2,000,000 <br />BODILY INJURY (Per person) $ XXXXXXX <br />BODILY INJURY (Per accident) S XXXXXXX <br />(Per accident) MA E S XXXXXXX <br />sXXXXXXX <br />UMBRELLA LIABOCCUR <br />EXCESS LIAR HCLAIMS-MADE <br />I <br />NOT APPLICABLE <br />EACH OCCURRENCE S XXXXXXX <br />AGGREGATE S XXXXXXX <br />DEO I I RETENTIONS <br />S xxxxxxx <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETORrPARTNERrEXECUnVE <br />OFFICERIMEMBER EXCLUDED? <br />(MandstsryInNH) <br />If Yea, deeulbe under <br />OE CRIPTION OF OPERATIONS below <br />N I A <br />NOT APPLICABLE <br />TATUTE ER H. <br />E L. EACH ACCIDENT S XXXXXXX <br />EL.DISEASE- EAEMPLOYEE S XXXXXXX <br />E L. DISEASE -POLICY OMIT S XXXXXXX <br />DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORD 101, Additional Remaft Schedule, may be sttachsd N mots space Is required) <br />RE Keenesburg Mine <br />1439971 <br />Colorado Division of Reclamation <br />Mining and Safety <br />1313 Sherman Street, Room #215 <br />Denver CO 80203 <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 <br />i lG 9 ffc44111'/ <br />4 ACORD CORPOF11TION. All rlahts reserved. <br />ACORD 2S (2014/01) The ACORD name and logo are registered marks of ACORD <br />