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2014-10-31_PERMIT FILE - C1981044 (10)
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2014-10-31_PERMIT FILE - C1981044 (10)
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Last modified
8/24/2016 5:55:11 PM
Creation date
11/26/2014 8:53:34 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
Permit File
Doc Date
10/31/2014
Section_Exhibit Name
EXHIBIT 01 INSURANCE INFORMATION
Media Type
D
Archive
No
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*GENCY <br />Willis of Tennessee, Inc. <br />POLICY NUMBER <br />See First Page <br />CARRIER <br />ACE American Insurance Cc <br />AGENCY CUSTOMER ID: 236021 <br />LOC#: <br />ADDITIONAL REMARKS SCHEDULE Page 9 of <br />NAIC CODE <br />NAMED INSURED <br />Peabody Energy Corporation <br />Attn: Robert Fenley <br />701 Market Street <br />Suite 700 <br />St. Louis, MO 63101 -1826 <br />EFFECTNEDATE: See First P <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FnRM Al1IMRFR• 25 FARM TITI F• CERTIFICATE OF LIABILITY INSURANCE <br />and Subsidiaries <br />(M -82 -036); Red Rock Gravel Pit - Peabody Sage Creek Mining, LLC (M -78 -315); Hayden Gulch Loadout - <br />Hayden Gulch Terminal, LLC (C -92 -081); Big Elk Property - Cottonwood Land Holdings, LLC; Williams <br />Fork Mines - Moffat County Mining, LLC (C -81 -044); Foidel Creek Mine - Twentymile Coal, LLC <br />(C -82 -056); Peabody Sage Creek Mine - Sage Creek Coal Company, LLC (C -09 -087), Vista Ridge and <br />Associated Real Estate Holdings - Twentymile Coal, LLC; Shoshone Mine - Shoshone Coal, LLC (477); <br />Related Exploration and Development Activities. <br />Covered entities include Peabody Energy Corporation and all associated subsidiaries operating in <br />the noted coverage areas. In addition, those state and county governments with regulatory <br />authority over the covered operations /properties are included as additional insured parties with <br />respect to General Liability, where required by contract or agreement. General liability limits, <br />as noted in the Certificate, apply to each covered operation /property, and are restricted only as <br />designated (i.e.: "Each Occurrence" or "Any One Person"). <br />County Governments and /or County Commissioners are identified as Additional Insured parties with <br />respect to the General Liability coverage, however this coverage is limited to their interest(s) in <br />the operations and activities o£ the Named Insured, and only for such terms and limits which are <br />the lesser of the policies hereon, or the written requirements and /or agreements between the Named <br />Insured and the Certificate Holder(s). <br />ACORD 101 (2008/01) Coll:4480066 Tpl:1848083 Cert:21898519 @2008ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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