2017-11-14_GENERAL DOCUMENTS - C1981028

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AC40 REP CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 10/31/2017 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 have ADDITIONAL INSURED provisions or 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: PHONE FAX A/ AIC No E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 11/01/2017 INSURED Molson Coors Brewing Company Coors Energy Company INSURER B: N/A N/A INSURER C: N/A WA INSURER D: NIA N/A 1801 California Street, Suite 4700 Denver, CO 80202 INSURER E INSURER F : DAMAGETO PREMISES Ea oNccur encs $ 1,0110,000 r ^VICOAi±cc 9 r-0TIPICATP hIIIMRFR• NYC -009009693-07 REVISION NUMHtK: Z 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, I'�GOT�C�f�ATC EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Manashi Mukherjee �iaecaes a+u� u HDOG2787275A 11/01/2017 11/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGETO PREMISES Ea oNccur encs $ 1,0110,000 MED EXP (Any one person) $ 50,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2,000,000 X POLICY 1:1 PRO ❑ LOC JECT OTHER A AUTOMUBiLELIABiUTY ISAH09063444 (AOS) 11/01/2017 11/01/2018 COMBINED SINGLE LIMIT $ 3,000,000 Ea accident BODILY INJURY (Per person) $ A X ANY AUTO ISAH09063456 (CO, PR) 11/01/2017 11/01/2018 BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE `' �! f �,Y GAJ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE❑ 20{ 1 {- N0� • STATUTEEORH E L EACH ACCIDENT $ L DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED (Mandatory in NH)E If yes, describe under DESCRIPTION OF OPERATIONS below N / A (1 E L DISEASE -POLICY LIMIT $ 1 T DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE Keenesburg Mine 11_11n1 nro f_Aldf`FI I ATInW 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. Manashi Mukherjee �iaecaes a+u� u U 1983-2016 AGUKU GUKYUKA I WN. All rlgnis reserveu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD