2013-11-05_GENERAL DOCUMENTS - C1982056

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A� °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 10/(30/2013 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 Willis of Tennessee, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230 -5191 CONTACT NAME PHONE FAX (A/C, NO EXT 877 - 945 -7378 A/c NO) 888- 467 -2378 E -MAIL ADDRESS certificates@willis.com INSURER(S)AFFORDINGOOVERAGE NAIC# INSURERA ACE American Insurance Company 22667 -001 11/1/2013 INSURED Peabody Energy Corporation INSURER 5,000,000 INSURERC $ 100,000 Attn: Robert Fenley 701 Market Street Suite 700 INSURER INSURER St. Louis, MO 63101 -1826 INSURER F COVERAGES CERTIFICATE NUMBER: 20640023 REVISION 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 LTR TYPE OF INSURANCE DD' N R SUB POLICY NUMBER POLICY EFF M DD YV POLICY EXP M DD YY LIMITS A GENERAL LIABILITY Y HDOG2732809A 11/1/2013 11/1/2014 EACHOCCURRENCE 5,000,000 __$ DAMAGE TO RENTED PREMISES RENTED E, $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 GENERALAGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 6,000,000 POLICY JEC LOC $ AUTOMOBILE LIABILITY l^- COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Per person) $ ANY AUTO ATO SCHEDULED AUUTOS S iAUTOS HIREDAUTOS NON -OWNED AUTOS V V tL 0`J - �3 `` `�ON BODILY I NJURY(Per accident) $ PROPERTYDAMA E Peraccadent $ UMBRELLA LIAB EXCESS LIAB j OCCUR CLAIMS -MADE �MS�pN �Ntio N EACHOCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFiCER/MEMBER EXCLUDED //Mandatory m NH) ff yes, describe under N/A W TA U- TH- TORY LIMIT ER E L EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) RE: Twentymile Coal, LLC It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Additional Insured as respects to General Liability where required by contract or agreement. Covers operations at Twentymile Coal, LLC including the use of explosives. CERTIFICATE HOLDER CANCELLATION 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 Colorado Division of Reclamation, Mining and Safety Jb, 1313 Sherman Street, Room 215 ` Denver, CO 80203 Col1:4253132 Tnl:1725225 Cert:2 0023 © 1988- 2010ACORD CORPORATION. All riahts reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD