2013-11-05_GENERAL DOCUMENTS - C1981044

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ACORN® �,..� CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 FA E (MM/DD/YYYY) /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 CONTACT NAME PHONE FAX AJC No. 877- 945 -7378 AC. No 888- 467 -2378 Willis of Tennessee, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230 -5191 ADDRESS certificates@willis.com INSURER(S)AFFORDINGOOVERAGE NAIC# INSURERA ACE American Insurance Company 22667 -001 INSURED Peabody Energy Corporation and Subsidiaries INSURER A GENERAL LIABILITY Attn: Robert Fenley INSURERC 11/1/2013 701 Market Street Suite 700 INSURER D. $ 51000,000 INSURER $ 100 000 St. Louis, MO 63101 -1826 NSURERF C!nVFRArFS CFRTIFICATE NUMRFR! 20640068 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 TYPEOFINSURANCE ADD'L INSFIC SUER WVD POLICY NUMBER POLICY EFF M D YY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY HDOG2732809A 11/1/2013 11/1/2014 EACHOCCURRENCE $ 51000,000 DAMAGETORENTED PREMISES Eaoccurence $ 100 000 ][ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 CLAIMS -MADE OCCUR PERSONAL& ADV INJURY $ 5,000,000 GENERALAGGREGATE S 61000,000 GENI AGGREGATE LIMIT APPLIES PER �i POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ A I AUTOMOBILE LIABILITY IX I ANYAUTO ALLOWNED AUTOS AUTOS HIRED AUTOS ]SCHEDULED NON -OWNED AUTOS ISAH08815306 11/1/2013 11/1/2014 COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 BODILY INJURY(Per person) $ BODILYINJURY(Peraccident) $ PR PERTY DAMA E Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE n OFFICER /MEMBER EXCLUDED, u 1Mandatory in NH) fyes,descnbe under DESCRIPTION OF OPERATIONS below N/A W TA U- H- T RY LIMITS ER E L EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE- POLICY LIMIT $ 60® DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is r Moffett County Mining, LLC Including Permit C -81 -044. LU OF RE0��10� DMM N NG PNp S�E� CFRTIFICATE Hf)I DER CANCELLATION Coll:4253132 Tpl:1725218 Cert:20640068 © 1988- 2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 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 Division of Reclamation Mining and Safety AUTHORIZED REPRESENTATIVE 1313 Sherman Street Room ,� / Denver, CO 80203 %�^�✓ Coll:4253132 Tpl:1725218 Cert:20640068 © 1988- 2010ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD