2014-08-11_GENERAL DOCUMENTS - C1981044

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L. _ ACbRhP CERTIFICATE OF LIABILITY INSURANCE 08/`0 /2014 page 1 of 1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 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 GENERAL LIABILITY NAME: Willis of Tennessee, Inc. c/o 26 Century Blvd. PHONE FAX AC NO EXT: 877- 945 -7378 A/C No: 888- 467 -2378 E -MARE IL ADD S: certificateS@Willis.com P.O. Sox 305191 Nashville, IN 37230 -5191 $ 5,000,000 X COMMERCIAL GENERAL LIABILITY INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:ACE American Insurance Company 22667 -001 INSURED Peabody Energy Corporation and Subsidiaries INSURERB: INSURER C: Attn: Robert Fenley 701 Market Street Suite 700 INSURER D: INSURER E: St. Louis, MO 63101 -1826 INSURER F: COVERAGES CERTIFICATE NUMBER: 21898607 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 TR TYPEOFINSURANCE ADD'L INSR SUB WVD POLICY NUMBER POLICY EFF M YY POLICY EXP YY LIMITS • GENERAL LIABILITY HDOG2733636A 8/1/2014 8/1/2015 EACHOCCURRENCE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES E. RENTED $ 100,000 CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 5 000 PERSONAL& ADV INJURY $ 5,000.000 GENERAL AGGREGATE $ 6,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 POLICY PR OT LOC $ • AUTOMOBILE LIABILITY ISAH08827540 8/1/2014 8/1/2015 COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 BODILY INJURY(Per person) $ X ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMA E Per accident $ HIREDAUTOS NON-OWNED AUTOS $ UMBRELLALIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECU I VE Y/N (O(FFICER/MEMBER EXCLUDED? ❑ ffMyes desc iin NH) DESCRIPTION OF OPERATIONS below N/A „ A' 1� �1v`+ 14 W A U- H- TORY LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ pivisMli�9 & safety DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Accord 101, Additional Remarks Schedule, if more space is required) Moffett County Mining, LLC Including Permit C -81 -044. 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 215 Denver, CO 80203 Coll:4480066 To1:1848079 Cert:21W8607 01988- 2010ACORDCORPORATION. All riahts reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD