2013-10-10_GENERAL DOCUMENTS - C1994082

Home Browse Search

AC�°"Z°r CERTIFICATE OF LIABILITY INSURANCE F page 1 of l 10/29/20 2 THIS CERTIFICATE IS ISSUED ASA 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 BYTHE 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 theterms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confor rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Willie of Tennessee, Inc. c/o 26 Century Blvd. P.O. Box 305191 Haahville, TN 37230 -5191 PHONE b E 877-945-7378 Fc _4p)- 888 - 467 -•2378 E -MAIL certificatesewillis . com INSURER(S)AFFORDING COVERAGE NAICN INSURER& ACE American Insurance Company 22667 -001 DAMAGE TO RENTED PREA715E5 Eaocwrencq INSURED Peabody Energy Corporation and Subsidiaries INSURER B: S 5,000 W INSURERC: __ Attn: Robert Penley 701 Market Street I INSURER D: GENERAL AGGREGATE Suite 700 INSURERS: PRODUCTS • COMPIOPAGG St. Louie, MO 63101 -1626 1 INSURER F: 5 • COVERAGES CERTIFICATE= NUMI3FR: I R7R4R9R RFVIRICIAI NUMBER: 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 OD' SUB POUCYNUMBER POL[GYEFF POLICYE %P LIMITS • GENERAL LIABILITY X COMMERCIAL G>= NERALLIABILITY _ CLAIMS-MADEIXI OCCUR HDOG2701351A 1/1/2012 11/1/2013 EACHOCCVRRENC£ $ 5,000,000 DAMAGE TO RENTED PREA715E5 Eaocwrencq S 100 000 MEP EX P(Anyonsperson) S 5,000 PERSONAL &ADV INJURY S 51000,000 GENERAL AGGREGATE S 61000,000 GENI AGGREGATELIM ITAPPLIES PER; POLICY PRO LOG PRODUCTS • COMPIOPAGG S 6 000 000 5 • AUTOMOBILE LIABIUTY ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS ISAH0871194A 11/1/2012 11/1/2013 (EaaBcideDISWGLELIMIT S 5,000,000 X BODILY INJURY(Per person) S Per accident) BODILY INJURY ( ) 5 ROPR (PeracEcddenlnA AGE S S UMDRELLALIAB EXCESS LIAR OCCUR CLAIMS-MADE EACH OCCURRENCE S AGGREGATE S DE❑ I RETENTIONS g WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNEREXECUTIVE❑ OFFICERlMEMBER EXCLUDED? (Mandatory to NH) dives• describe under DESCRIPTION OF OPERATIONS below NIA WcsTAT - OT - M E.L. EACH ACCIDENT § E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONSI LoCATrONS! VEHICLES (Attach Acord 101, Addilonal Ramarks Schedule, Rmore spaceis required) Named Insured: Seneca Coal Co., a Subsidiary Covers operations at Seneca 11 -W Mine including damage from surface coal mine operational the use of explosives and damage to water wells. V IQIA i u-r�n r c n V Lur-IN I,ANIL LLLA I ILfIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Colorado Department of Natural Resources Divi &ion of Reclamation, Mining and Safety AUTHORIZED REPRESENTATIVE Room 215 1313 Sherman Street Denver, CO 80203 -2273 �F f "1 i / ! •, _� Ca11 :3905349 TPI:1544B29 Cert:1874898 0 1988-2010 ACORD CORPORATION. All riahtsreserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD