2014-08-11_GENERAL DOCUMENTS - C1992081

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A� °® CERTIFICATE OF LIABILITY INSURANCE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS page 1 of 1 08/`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 CONTACT Willis of Tennessee, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230 -5191 NAME: PHONE FAX A/C No EXT: 877- 945 -7378 AC. NO: 888- 467 -2378 E -MAIL ADDRESS: certificates@Willis.com 8/1/2014 8/1/2015 EACHOCCURRENCE INSURER(S)AFFORDING COVERAGE NAIC # INSURERA: ACE American Insurance Company 22667 -001 INSURED Peabody Energy Corporation and Subsidiaries INSURER B: INSURERC: $ 100 000 Attn: Robert Fenley 701 Market Street CLAIMS -MADE OCCUR Suite 700 INSURERD: INSURER E: St. Louis, MO 63101 -1826 INSURER F: PERSONAL& ADV INJURY $ 5,000,000 COVERAGES CERTIFICATE NUMBER: 21898626 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 WVD POLICY NUMBER POLICY EFF M YYY POLICY EXP M DD YYY LIMITS • GENERAL LIABILITY HDOG2733636A 8/1/2014 8/1/2015 EACHOCCURRENCE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccurence $ 100 000 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 6,000,000 GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 6,000,000 POLICY PR � LOC $ • AUTOMOBILE LIABILITY ISAH08827540 8/1/2014 8/1/2015 COMBINED SINGLE LIMIT (Ea accident) 5 000,000 $ r BODILY INJURY(Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON -OWNED AUTOS PR PER Y AMA E Per accident $ UMBRELLA LIAB OCCUR � EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ 117014 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUIIVEY N/A _.. �.: ;" �l�ma {to .. W A U- H- TORY LIMIT ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 4Mandatory in NH) f yes, describe under ,,�._- g & Safety E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space is required) Named Insured: Hayden Gulch Terminal, Inc. Covers operations at Hayden Gulch Loadoul Facility including damage from surface coal, etc., Permit C -92 -081. CtH I It-IGA I t HULUtH GANCtLLATION 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 Division of Reclamation, Mining and Safety AUTHORIZED REPRESENTATIVE Room 215 % /O 1313 Sherman Street Denver, CO 80203 -2273 i Coll:4480066 TD1:1848077 Cert :2 1 © 1988- 2010ACORD CORPORATION- All riahts reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD