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2013-10-10_GENERAL DOCUMENTS - C1981037
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2013-10-10_GENERAL DOCUMENTS - C1981037
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Last modified
8/24/2016 5:32:28 PM
Creation date
10/11/2013 9:35:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981037
IBM Index Class Name
General Documents
Doc Date
10/10/2013
Doc Name
Certificate of Liability Insurance 2012-2013 (Emailed)
From
Seneca Coal Company
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JHB
DIH
Media Type
D
Archive
No
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,a`-v' CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 <br />10129/2012 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement an this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />Willie of Tennessee, Inc. <br />c/o 26 Century Blvd. <br />P.O. Box 305191 <br />Nashville, TN 37230 -5191 <br />ANONn <br />877 -945 -7378 FAx 8$8 -467 -2378 <br />^Fxn <br />-MAIL <br />DD$ESS certif ic ate sC4w3113s.coin <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />11/1/2012 <br />INSURERA: ACE American Insurance Company <br />22667 -001 <br />$ 100, OOD <br />INSURED <br />Peabody Energy Corporation and Subsidiaries <br />INSURERS: <br />PERSONAL& ADV INJURY <br />INSURERC: <br />Attn: Robert Penley <br />701 Market: Street <br />Suite 700 <br />INSURERD: <br />G£N'LAGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- LOG <br />INSURER E: <br />6,000,00G <br />St. Louis, Mo 63101 -1625 <br />INSURER F: <br />A <br />AUTOMOBILE <br />COVERAGES CERTIFICATE NUMBER: 18784899 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPSOFINSURANCE <br />DD <br />SUB <br />POLICY NUMBER <br />POL[CYEFF <br />POLICYEXP <br />L!Ml75 <br />EA,CHOCCURRENCE <br />$ 5,000,000 <br />• <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS- MAOEFOOCCUR <br />HDOG2701351A <br />11/1/2012 <br />11/1/2013 <br />O GE TO RENTED <br />P ISES Eaecarence <br />$ 100, OOD <br />MEDEXP An one person <br />S 5,000 <br />PERSONAL& ADV INJURY <br />5 5 000 000 <br />GENERAL AGGREGATE <br />S 6 000 DOD <br />G£N'LAGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- LOG <br />PRODUCTS - COMPIOPAGG_S <br />6,000,00G <br />5 <br />A <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALLOWNED SCHECULEO <br />AUTOS AUTOS <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />ISAH0871194A <br />1/1/2012 <br />11/1/2013 <br />cldenjlNGL£uA1T <br />(6aao <br />S 5,000,000 <br />X <br />BODILY INJURY(Per person) <br />$ <br />BODILY INJURY Per acddenl <br />( ) <br />5 <br />PROPERTY DAMAGE <br />[PeraccidenI) <br />$ <br />UMIIRELLAUA13 <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />S <br />DEO I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOMPARTNER /EXECUTIVE❑ <br />OFFICER(MEMBER EXCLVD£D7 <br />Mandatory,in NH) <br />fyes. des cnbeunder <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />G O - <br />RVIII.S rp <br />E.L. EACH ACCIDENT <br />S <br />E.L. DISEASE, EA EMPLOYEE <br />S <br />E.L. DISEASE - POLICY LIMIT <br />5 <br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach Acord 161, Addilonal Remarks Schedule. ii more spaco Is required) <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Yeast Mine including damage form surface coal mine operations, the use of <br />explosives and damage to water wells. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Colorado Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Coll:3905349 Tn1:1544R29 Cert:1B794899 CcT19RR-2010ACORD CORPORATION- All riahtsrPSPrOPfl <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />
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