2018-11-06_GENERAL DOCUMENTS - C1981028

Home Browse Search

® -DATE(MM/DD/YYYY) ACC..>RO CERTIFICATE OF LIABILITY INSURANCE10/30/2018 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 CONTACT MARSH USA INC NAME: 1166 AVENUE OF THE AMERICAS PHON u A/C No): NEW YORK,NY 10036 E-MAIL Attu NewYork.Certs@marsh com Fax.212-948-0500 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:ACE American Insurance Company 22667 INsMolsoINSURER B:NIA NIA n Coors Brewing Company Coors Energy Company INSURER C:N/A N/A 1801 Catdomia Street,Suite 4700 INSURER D: Denver,CO 80202 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-009009693-08 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 INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY HDOG71210273 11/01/2018 11/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE � OCCUR PREMISES Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 50,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY❑JECPROT ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY ISA H25272663(AOS) 11/0112018 11/01/2019 COMBINED SINGLE LIMIT $ 3,000,000 Ea accident A X ANY AUTO ISAH25272705(CO,PR) 11/01/2018 11/01/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER----7- OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE —] N/A E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED (Mandatory In NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below i EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addltlon s hedule,may be attached If more space is required) RE Keenesburg Mine Nov 0 6 2018 Division of Reclamation. Mining&Safety CERTIFICATE HOLDER CANCELLATION 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 Mukhegee art 0.^,,vYa t t fiat,,.t,c wtJ, c ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD