2011-11-02_GENERAL DOCUMENTS - C1981028

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I_VV GRMV GJ IYr IJLi\.VVI I v vI_I� Il ,vrS, r,•v,S.vr... . .-.�. ----- - - - - -- 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 INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDDIYYYY) POLICY EXP IMM /DD/YYYYI LIMITS A GENERAL X X LIABILITY COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE X OCCUR Vendors N N OGLG25700983 11/1/2011 11/1/2012 EACH OCCURRENCE $ 2,000,000 PREMISES (Ea occur TED $ XXXXXXX MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 $ 2,000,000 $ 2 000,000 GENERAL AGGREGATE X $100,000 SIR PRODUCTS - COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER: �'1 PRO- POLICY I JECT LOC $ A AUTOMOBILE X _ X LIABILITY ANY AUTO AUTOS NED HIRED AUTOS _ X SCHEDULED AUTOSWNED N N CALH08610319 11/1/2011 11/1/2012 (Ea accciidentSINGLE LIMIT $ 2 000 000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident $ XXXXXXX (PerraccidenDAMAGE $ XXXXXXX $ XXXXXXX — UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX AGGREGATE $ XXXXXXX $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR /PARTNER /EXECUTIVE ❑ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) describe under If DESCRIPTIONOF OP- EBATIONS-below N / A NOT APPLICABLE I WC STATU- I 10TH- (TORY LIMITS FR E.L. EACH ACCIDENT $ XXXXXXX E.L. DISEASE - EA EMPLOYEE $ XXXXXXX E . DISEASE- POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Keenesbure Mine. NI ik 11 ACOR1Y 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 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 Lockton Companies, LLC Denver 8110 E Union Avenue Suite 700 Denver CO 80237 (303) 414 -6000 INSURED Molson Coors Brewing Company 1030130 Coors Energy Company 311 10th St., Suite 400 Golden, CO 80401 CERTIFICATE OF LIABILITY INSURANCE 11/1/2012 CONTACT NAM : PHO E FAX (A/C, No, Ext): I (NC, No): E -MAIL ADDRESS: INSURERISI AFFORDING COVERAGE INSURER A: ACE American Insurance Company INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : DATE (MMIDDIYYYY) 1 0/3 1 /2011 NAIC # 22667 CERTIFICATE HOLDER ACORD 25 (2010/05) • CANCELLATI The ACORD name and logo are registered marks of ACORD : XXXXXX X 1439971 Colorado Division of Reclamation Mining and Safety 1313 Sherman Street, Room #215 Denver CO 80203 ` O ; S t e SHOULD ANY OF THE ABOVE DESCRIBT I C BEFORE THE EXPIRATION DATE THEREOF, NOTICE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE fil5 arks ©19 8 010 ACORD CORPOKATION. All rights reserved