Laserfiche WebLink
C.-1 q 11- Ot d <br />ACORD <br />CERTIFICATE OF LIABILITY INSURANCE Diiiz9i2o <br />a) <br />,N oziovzoos o <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />LocktonCompanies RECEIVED ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />8110 E Union Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />Suite 700 AL R THE COVERA E AFFORDED BY THE POLICIES BELOW. <br />Denver CO 80237 DEC 0 2 2i~04 <br />(303) 414-6000 INSURERS AFFORDING COVERAGE <br />INSURED <br />Adolph Coors Company <br />Division ~f Minerals and Geolog <br />INSURERA CONTINENTAL CASUALTY <br />1030130 <br />Coors Energy Company INSURER B: <br />311 10th St., Mail #NH2O0 INSURER C <br />Golden CO 80401 <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDRION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE M1AY BE ISSUED OR <br />MAV PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />PO LICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR <br />LTR _ __ <br />TYPE OF INSURANCE - - <br />POLICY NUMBER - POLICY EFFECTIVE <br />GATE MMR)O - POLICY EXPIRATION <br />D MMIBC^fY <br />LIMITS <br /> GENERAL LIABILT' EACH OCCURRENCE 5 1 25N ~~~ <br />A X COMMERCIAL GENERAL LIABILITY 249219970 IO/20~2003 N2/t)I/2~~5 FIRE DAMAGE An onefire S XXXRXXX <br /> CLAIMS MADE ~ OCCUR MED E%P An one erson 5 XXXXXXX <br /> X Vendors PERSONALSADVINJURY 5 1250000 <br /> GENERAL AGGREGATE 5 1 250 000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP qGG 5 125~0~0 <br /> PRO- <br />POLICV JECT LOC <br /> <br />A AUT <br />X OMOBILE LIABILITY <br />ANY AUTO <br />249220018 <br />I~/20~2~~3 <br />~2/N1/2~~5 <br />COMBINED SINGLE LIMIT <br />(Ea accident <br />S 2,000,000 <br /> ALL OWNED AUTOS <br /> <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />S XXXXXXX <br /> X <br />X HIRED AUTOS <br />NON-0WNED AUTOS BODILY INJURY <br />(Pereccitleni) <br />5 XXXXXXX <br /> PROPERTY DAMAGE <br /> <br />(Per acatlenq 5 XXXiCXXX <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 5 XXXXXXX <br /> ANV AUTO NOT APPLICABLE OTHER THAN EA ACC 5 XXXXXXX <br /> AUTO ONLY: AGG 5 XXXXXXX <br /> EXCESS LIABILITY EACH OCCURRENCE S XXXXXXX <br /> OCCUR ~ CLAIMS MADE NOT APPLICABLE AGGREGATE S XXXXXXX <br /> UMBRELLA S ~}~Y' <br /> DEDUCTIBLE ~ FORM XXXXXXX <br /> RETENTION 5 S XXXXXXX <br /> WORKERS COMPENBATION AND ~~ NQT ~]>1,ICABj-E - - - - --- - WC STATU- OTH- <br /> EMPLOYERS' LIABILT' <br />EL EACH ACCIDENT <br />5 XXXXXXX <br /> E.L. DISEASE-EA EMPLOYEE 5 XXXXXXX <br /> EL DISEASE-POLICY LIMIT 5 XXXXXXX <br /> OTHER <br />DESCRIPTION OF OPERAT <br />RE: Keenesburg Mine <br />'~Y ENDORSEMENT/SPECIAL PROVISIONS <br />++ <br />1439971 <br />CO Division of Minerals & Geology <br />Mined Land Reclamation Board <br />1313 Sherman Street <br />Rm #215 <br />Denver CO 80202 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE LANCELLED BEEF !DIRE THE EXPIRATION <br />GATE THEREOF, THE ISSUING INSURER WILL €NDEAVWIrTO MAIL I.~ DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />AUTHORIZED REPRESENTATIVE wn ~ <br />ACORD 2SS (7197) Foraw.noo.r.wmmc ui...mn.x.,.om,.un..„mn.,n.r.amm. aroaa..r wcelon .n.....e.F.ary m. al.m cod. •ADOCOOn ©ACORD <br />