2010-11-05_GENERAL DOCUMENTS - C1981028

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ACOROe 16*.? CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/1/2011 10/29/2010 PRODUCER Lockton Companies, LLC Denver THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 8110 E Union Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Suite 700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Denver CO 80237 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (303) 414-6000 INSURERS AFFORDING COVERAGE NAIC # INSURED Molson Coors Brewing Company E[) INSURER A: ACE American Insurance Company 22667 1030130 Coors Energy Company INSURER B : 3111 Oth St., Suite 400 ? © No CO 80401 20 Golden INSURER C 0 , D/V 1 0n cit INSURER D : Win ? 'ten). INSURER E: MOLCO01 PO Oaf* - THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING R . R R RI D REPRESENTATIVE R PRODUCER AND THE CERTIFICATE HOLDE COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIASIiITY OGLG2570098 - -12010- - 11/1 - - 11/1/2011- _ DAM AGE TO RENTED ?IjSaS fE,.Toccurence? $ XxxXXXX° CLAIMS MADE a OCCUR MED EXP (Any one person) $ 5,000 X Vendors PERSONAL & ADV INJURY $ 2,000,000 X $100 000 SIR GENERAL AGGREGATE $ 2,000,000 , GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- POLICY JECT LOC A AUT OMOBILE LIABILITY LMTH08610319 11/1/2010 11/1/2011 COMBINED SINGLE LIMIT $ 2 000 000 X ANY AUTO (Ea accident) , , ALL OWNED AUTOS BODILY INJURY $ XXXxOOxX SCHEDULED AUTOS (Per person) X HIRED AUTOS DILLY INJURY $ XXXXXXX X NON-OWNED AUTOS (0 PROPERTY DAMAGE $ XXX?OO?X (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR FICLAIMS MADE AGGREGATE $ XXXy?CXX NOT APPLICABLE $ XXXXXXX UMBRELLA DEDUCTIBLE FORM $ XXXx} xx RETENTION $ $ XXXXXXX -WORKERS COMPENSATION AND- WC STATU- OTH- EMPLOYERS' LIABILITY Y / N XXXxxXX ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? L I NOT APPLICABLE (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ XXXXXXX It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ XXXXXXX l THER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Keenesburg Mine. 1439971 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Colorado Division of Reclamation DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Mining and Safety NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1313 Sherman Street, Room #215 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Denver CO 80203 REPRESENTATIVES. AUTHORIZED REPRES T E , f' Y I 1 1, ", ? q C rIV/ ACORD 25 (2009/01) 1988-2009 ACORD CO ORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Fnr nunatinna nardinn thin redMcate. cnntart the numher lie .d in the..'Prn ueer' xertinn ahnva and cnariN the client rnde'MOL0007'.