2012-11-01_GENERAL DOCUMENTS - C1981028

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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 LTR TYPE OF INSURANCE ADDL INSR SUBR INVD POLICY NUMBER /Y POLICY EFF IMM /DDYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY N N OGLG25700983 11/1/2012 11/1/2013 EACH OCCURRENCE $ 2,000,000 $ XXXXXXX PREMISES (Ea occur ence) MED EXP (Any one person) $ 5,000 CLAIMS -MADE X I OCCUR PERSONAL & ADV INJURY $ 2,000,000 X Vendors GENERAL AGGREGATE $ 2,000,000 X $100,000 SIR $ 2,000,000 PRODUCTS - COMP /OP AGG GEN'L AGGREGATE LIMIT APPLIES PER 7 POLICYI7 JEC Fl LOC A AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED HIRED AUTOS X SCHEDULED NON-OWNED AUTOS N N CALH08610319 11/1/2012 11/1/2013 (Ea OMBINE LIMIT $ 2,000,000 BODILY INJURY (Per person) $ XXXXXXX BODILY INJURY (Per accident; $ XXXXXXX PROPERTY DAMAGE (Per accident) $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 / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDE D (Mandatory in NH) If DESCRIPTION N OF OPERATIONS below N / A NOT APPLICABLE I WC STATU- I IOTH- TORY LIMITS FR E L EACH ACCIDENT $ XXXXXXX E L DISEASE - EA EMPLOYEE $ XXXXXXX E L DISEASE - POLICY LIMIT $ XXXXXXX DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES /(Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Keenesburg Mine. A CORDrM CERTIFICATE OF LIABILITY INSURANCE ii D ATE (MM /DD/YYYY) 10/31/2012 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 RECEIVED (303) 414 -6000 • C CONTACT PHONE FAX (A/C, No Ext): I (A/C, No): E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : ACE American Insurance Company 22667 INSURED Molson Coors Brewing Company 0 i 201 1030130 Coors Energy Company 2 311 10th St., Suite 400 Golden, CO 80401 Division of Reclamation, Mining & Safety INSURER B : INSURER C INSURER D : INSURER E : INSURER F : • CERTIFICATE HOLDER ACORD 25 (2010/05) CANCELLATION The Ar11Pr1 n,me end Inn's era reniefcrerl mnrkc of Arnim N NUMBER: XXXXXXX 1439971 Colorado Division of Reclamation Mining and Safety 1313 Sherman Street, Room #215 Denver CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C Carles ®1988 2010 ACORD CORPO TION. All rights reserved