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2015-01-27_REVISION - C1994082
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2015-01-27_REVISION - C1994082
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Entry Properties
Last modified
8/24/2016 5:56:56 PM
Creation date
1/27/2015 10:01:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
Revision
Doc Date
1/27/2015
Doc Name
Letter & Application
From
Seneca Coal Company
To
DRMS
Type & Sequence
RN4
Email Name
JHB
MPB
Media Type
D
Archive
No
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AC40R ° CERTIFICATE OF LIABILITY INSURANCE <br />INSR <br />ITR <br />page 1 of 1 <br />08/0 /20 4 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAKAP- <br />Willis of Tennessee, Inc. <br />c/o 26 Century Blvd. <br />PHONE . 877 - 945 -7378 Fax 888 - 467 -2378 <br />-MAIL certificates@willia.com <br />P.O. Box 305191 <br />Nashville, TN 37230 -5191 <br />INSURER(S)AFFORDING COVERAGE <br />NAIC# <br />8/1/2015 <br />INSURERA:ACE American Insurance Company <br />22667 -001 <br />DAMAGETO RENTED <br />PREMISES Eaoceurence <br />INSURED <br />Peabody Ener gy Corporation and Subsidiaries <br />INSURERS: <br />$ 5 000 <br />INSURERC: <br />$ 5,000,000 <br />Attn: Robert Penley <br />701 Market Street <br />INSURER D: <br />GENERAL AGGREGATE <br />Suite 700 <br />INSURER E: <br />PRODUCTS - COMP /OPAGG <br />St. Louis, MO 63101 -1826 <br />INSURER F: <br />$ <br />• <br />UUvtKAGtS (-FRTIFICATF MIIMRFR- -)I coceeo o�nernu unuern. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ITR <br />TYPEOFINSURANCE <br />D' <br />SUB <br />pOLICYNUMBER <br />POLICY EFF <br />POLICYEXP <br />LIMITS <br />• <br />GENERALUABILtTY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS- MADE�OCCUR <br />EiDOG2733636A <br />8/1/2014 <br />8/1/2015 <br />EACHOCCURRENCE <br />$ 51000, 000 <br />DAMAGETO RENTED <br />PREMISES Eaoceurence <br />$ 100,000 <br />MEDEXP (Any one person <br />$ 5 000 <br />PERSONAL BADVINJURY <br />$ 5,000,000 <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO LOC <br />PRODUCTS - COMP /OPAGG <br />$ 6.000,000 <br />$ <br />• <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />ALLOWNED AUTOESULED <br />AUTOS <br />HIREDAUTOS NON-OWNED <br />AUTOS <br />ISABOSS27540 <br />8/1/2014 <br />8/1/2015 <br />(EgM r""EDtFNGLELIMIT <br />don <br />$ 5, 000,000 <br />X <br />BODILY INJURY(Per person) <br />$ <br />BODILY INJURY(Peraccident) <br />$ <br />P DAMAGE <br />(Per accident) <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAR <br />OCCUR <br />CLAIMS -MADE <br />EACHOCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LU\BILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTNE❑ <br />OFFICEWMEMBER EXCLUDED? <br />(Mandatory in NH) <br />ff yes, desmbe under <br />DESCRIPTIONOF OPERATIONS below <br />NIA <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />i <br />i <br />-T <br />DESCRIPTION OFOPERATIONS/ LOCATIONS I VEHICLES (Attach Acord 101, Additional Remarks Schedule, if more space Is required) <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Yoast Mine including damage form surface coal mine operations, the use of <br />explosives and damage to water wells. <br />CERTIFICATE HOLDER rAMr_FI I ATIAM <br />C011:4451JUrr TPJ.:1845077 Cert:21898628 01988- 2010ACORDCORPORATION. All rights reserved <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Colorado Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 1 <br />(2�,, (2) )4V-4) <br />C011:4451JUrr TPJ.:1845077 Cert:21898628 01988- 2010ACORDCORPORATION. All rights reserved <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />
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