2014-10-31_PERMIT FILE - C1981044 (10)

Home Browse Search

,4`c�oR[, CERTIFICATE OF LIABILITY INSURANCE INSR Page 1 of 2 08%01/20 4 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. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis Tennessee, Inc. c/o 26 Ceatury Blvd. Century P.O. Sox 305191 Nashville, 12T 37230 -5191 PHONE 877 -945 -7378 FAX 888_467 -2378 -MAIL certificatesUw llis.com INSURER(S)AFFORDINGCO'' GE NAIC># INSURERA:ACE American Insurance Company 22667 -001 _$ D GE TO RENTED PRE ISES Eaoec ce INSURED Peabody Energy Corporation and Subsidiaries INSURERS: X COMMERCIAL GENERAL LIABILITY INSURER C: Attu: Robert Fenley 703. Market Street Suite 700 INSURER D: INSURER E: $ 5 000 St. Louis, MO 63101 -1826 INSURER F: COVERAGES CF_RTIFICATF NIIMRFR- 21 aonsl o taevtetnkt Mt [RAC CC. 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, EXCLUSIONSAND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE-OF INSURANCE D' SUB pOLICYNUMBER POLICY EFF POLICYEXP LIMITS A GENERAL LIABILITY Y BDOG2733636A 8/1/2014 8/1/2015 EACH OCCURRENCE 5,000,000 _$ D GE TO RENTED PRE ISES Eaoec ce $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Anyone person) $ 5 000 CLAIMS -MADE OCCUR PERSONAL &ADVINJURY $ 5,000,000 GENERAL AGGREGATE $ 6.000,000 GEN'L AGGREGATE LIMITAPPLIES PER POLICY PRO- LOC ir F71 PRODUCTS - COMP /OPAGG $ 6,000,000 g AUTOMOBILELIAMLITY ISAH08827540 /1/2014 8/1/2015 IgaB_ I(V�tsINGLEUMIT $ 5,000,000 X BODILY IINJURY(Perperson) $ ANYAUTO ALLOWNED AUTOS AUTOS BODILY INJURY(Perooddent) $ PSCHEOULED HIRED AUTOS NON -OWNED AUTOS PR ER AM GE (Per cddent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION 5IFT rp AND EMPLOYERS' LIABILITY Y / N ANY PROPRIErORIPARTNEROMCUTNE❑ OFFICER/MEMBER EXCLUDED? NIA EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ fft7yaenndaWry n IN ( DffESCddRIPTIONOiFi OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additional Remarks Schedule, If more spaces required) Named Insured includes Peabody Sage Creek Mining, LLC. Covers operations in Routt and Moffat Counties, Colorado, and Carbon County, Wyoming, including but not limited to damage from surface coal operations, the use of explosives, and damage to water wells, as well as all activities permitted under county permit approvals. See Attached: Covered operations/properties include: Mesa Gravel Pit - Peabody Sage Creek Xinina, LLC CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Routt County Board of Commissioners AUTHORIZED REPRESENTATIVE 136 Sixth Street P.O. Sox 773840 Sring Steamboat Springs, s, CO 80477 Coll :4480066 Tp1 :1848083 Cert:2 8 519 © 1988- 2010ACORD CORPORATION. A(I rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD