2021-11-15_GENERAL DOCUMENTS - C1981028

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DATE(MM/DDNYYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE 11/02/2021 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: PHONE FAX 99 HIGH STREET A/C No): BOSTON,MA 02110 E-MAIL Attn-Boston certrequest@Marsh.coml2-948-0500 ADDRES INSURER S AFFORDING COVERAGE NAIC# INSURER A:ACE American Insurance Company 22667 INSURED MolsonCoors Brewing Company INSURER B:N/A N/A Cows Energy Company ANSURER C:N/A N/A 1801 California Street,Suite 4700 INSURER D Denver,CO 80202 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-009009693-17 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 TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM IICY EFF/YYYY POLICY EXP/YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY HDOG72487448 11/01/2021 11/01/2022 EACH OCCURRENCE $ 1,000,000 rvi DAMAGE RENTED CLAIMS-MADE OCCUR PREMISES E.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 JECT LOC PRO-OLICYUCTSPRODUCTS-COMP/OP AGG $ 2,000,000 Pq POLICY OTHER $ A AUTOMOBILELIABILITY ISAH25544444(ADS) 11/01/2021 11/01/2022 COMBINED SINGLE LIMIT Eaaccident $ 3,000,000 A X ANY AUTO ISAH25544481(CO,PR) 11/01/2021 11/01/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 1Additional Remarks Schedule,may be attached if more space Is required) RECEIVED RE.Keenesburg Mine NOV 152021 � y4 1 � r ECG�^ DIVISION OF RECLAMATION -AFFTY CERTIFICATE HOLDER tPAG& 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 VAZW9ali 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD