2014-08-11_GENERAL DOCUMENTS - C1982057 (4)

Home Browse Search

A� °® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 FATE `01/2014 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 xashville, TN 37230 -5191 CONTACT NAME: PHONE FAX AC No EXT: 877- 945 -7378 A/C. No: 888- 467 -2378 E -MAIL ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:ACE American Insurance Company 22667 -001 8/1/2014 INSURED Peabody Energy Corporation and Subsidiaries INSURERB: $ 5,000,000 INSURER C: $ 100 000 Attn: Robert Fenley 701 Market Street Suite 700 INSURER D: INSURER E: St. Louis, MO 63101 -1826 INSURER F: COVERAGES CERTIFICATE NUMBER: 21898627 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' IN SR SUB pOLICV NUMBER POLICY EFF M Y Y ) POLICY EXP (MWDDfYYYYI LIMITS A GENERAL LIABILITY Denver, CO 80203 -2273 / �✓ HDOG2733636A 8/1/2014 8/1/2015 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTED PREMISES Eaoccurence $ 100 000 ][ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Anyone person) $ 5 000 PERSONAL& ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 POLICY PR� LOC $ A 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) $ HIRED AUTOS NON -OWNED AUTOS _PROPERTYIIAMAGE Peraccident $ $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE 4 DED (RE' J$ $ 20 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE V/❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) f yes, describe under N/A tp pIVi8101 -'i 01 l��Cii� Mining & Sa ation, ty W A UT H- T RY LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) Named Insured: Seneca Coal Co., a Subsidiary Covers operations at Seneca II -W Mine including damage from surface coal mine operations, the use of explosives and damage to water wells. CERTIFICATE HOLDER CANCELLATION Coll:4480066 Tpl:1848077 Cert:2CA-98627 © 1988- 2010ACORDCORPORATION. 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 Department of Natural Resources AUTHORIZED REPRESENTATIVE Division of Reclamation, Mining and Safety Room 215 1313 Sherman Street Denver, CO 80203 -2273 / �✓ Coll:4480066 Tpl:1848077 Cert:2CA-98627 © 1988- 2010ACORDCORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD