2013-11-06_GENERAL DOCUMENTS - C1992081 (2)

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`'_ °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 W1/ 20 3 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 Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. 877- 945 -7378 888- 467 -2378 P.O. Box 305191 E -MAIL CertificatesBwi1115.COm Nashville, TH 37230 -5191 INSURER(SAFFORDINGCOVERAGE NAIC # INSURERA: ACS American Insurance Company 122667 -001 INSURED Peabody Energy Corporation and Subsidiaries INSURERS: PREMISES TO RENTED INSURER MED EXP (Any one person) Attn: Robert Fenley 701 Market Street Suite 700 i INSURER D. INSURERS GENERAL AGGREGATE St. Louis, NO 63101 -1826 INSURER F. PRODUCTS- COMP /OP AGG $ 6 000 000 $ COVERAGES CERTIFICATE NUMBER: 20640043 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 TYPE OF INSURANCE DD'U SUER pOUCY NUMBER POLICY EFF _ POLICY IXP LIMITS • GENERAL LIABILITY X I COMMERCIAL GENERAL LIABILITY CLAIMS- MADEEXIOCCUR AUTHORIZED REPRESENTATIVE Division of Reclamation, Mining and Safety HDOG2732809A 11/1/2013 11/1/2014 EACH OCCURRENCE $ 5_ 000 000 PREMISES TO RENTED $ 100,000 MED EXP (Any one person) Is 5,000 PERSONAL &ADV INJURY $ 51000,000 GENERAL AGGREGATE $ 61000,000 GENT AGGREGATE LIMITAPPLIES PER POLICY PRO- LOC PRODUCTS- COMP /OP AGG $ 6 000 000 $ • AUTOMOBILE UABILRY X ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -0WNEO AUTOS ISAH08815306 ,pa. e I 12013 11/1/2014 I r (EOfaB�Id SINGLE LIMIT S 5,000,000 BODILY INJURY(Per person) S BODILY INJURY(Peraccident) $ E DAMAGE (Peramrfent) $ $ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE I `N`o \° \ V EACHOCCURRENCE $ AGGREGATE $ DED RETENTION$ �$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE F] OFFICERRAEMBER EXCLUDED? �J ryaaansd.at in ft DESCRIPTION OF OPERATIONS bebw NIA \C � �* I E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alach Acord 101, Addkonal Remarks Schadub, ifmora space k raquked) Named Insured: Hayden Gulch Terminal, Inc. Covers operations at Hayden Gulch Loadoul Facility including damage from surface coal, etc., Permit C -92 -081. CERTIFICATE HOLDER CANCELLATION Coll:4253132 Tp1:1725220 Cert:26-640043 01988- 2010ACORDCORPORATION. All rights reserved. ACORD 25 (2010105) 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 Department of Natural Resources AUTHORIZED REPRESENTATIVE Division of Reclamation, Mining and Safety Room 215 1313 Sherman Street Deaver, CO 50203 -2273 Coll:4253132 Tp1:1725220 Cert:26-640043 01988- 2010ACORDCORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD