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PEABENE-01 LEWISJY <br />CERTIFICATE OF LIABILITY INSURANCE <br />FDATE (MM/DD/YYYY) <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />7/22/2015 <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 />Willis of Tennessee, Inc. <br />c/o 26 Century Blvd <br />P.O. Box <br />Nashville,, TN TN 37 37230-5191 <br />CONTANAME: Willis Certificate Center <br />PHONE //g77 945-7378 <br />AIC No Ext): l aC No), (888) 467-2378 <br />ADDRESS: certificates@willis.com <br />INSURERS) AFFORDING COVERAGE NAIC # <br />LIMITS <br />INSURER A. ACE American Insurance Company 22667 <br />X COMMERCIAL GENERAL LIABILITY <br />INSURED <br />Peabody Energy Corporation <br />INSURER B <br />INSURER C: <br />Attn: Robert Fenley <br />701 Market Street <br />Suite 700 <br />INSURER D: <br />INSURER E : <br />St. Louis, MO 63101-1826 <br />INSURER F <br />%1w V GRM"r_0 GERT iFIL:A I E NUMBER- Dcvrcrnt.r ur urroitro. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR <br />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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />UBRPOLICY <br />WVD <br />POLICY NUMBER <br />EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />s! Ifa.tl <br />CLAIMS -MADE T OCCUR <br />X <br />HDOG27396367 <br />08/01/2015 <br />EACH OCCURRENCE $ 5,000,000 <br />AMATOKLNTED <br />PREMISES Ea occurrence $ 100,000 <br />08/01/2016 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL & ADV INJURY $ 5,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 6,000,000 <br />POLICY ❑ PRO- ❑ LOC <br />JECT <br />PRODUCTS - COMP/OPAGG $ 6,000,000 <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />ANY AUTO <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS AUTOS <br />HIRED AUTOS NON-OWNED <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIAB�OCCMUgEACH <br />OCCURRENCE $ <br />EXCESS LIAB <br />AGGREGATE $ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY V r u <br />STATUTE ER <br />OFFICER/MEMBER EXCLUDED? u <br />N / A <br />E L DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL DISEASE -POLICY LIMIT 1 $ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Re: Peabody Sage Creek Mining, LLC <br />It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Additional Insured as respects to Gene fere required by <br />` �iVlli <br />contract or agreement. Covers operations at Peabody Sage Creek Mining, LLC including the use of explosives. Mr.: ��,,jj <br />JUL 2 v 2015 <br />G A1�1ATION <br />CERTIFICATE HOLDER CANCELLATION plVl�ty , f.t ^il <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />ilk trin <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 and Safety <br />1313 Sherman Street, Room 215 <br />_ <br />�~ <br />Denver CO 80203 <br />s! Ifa.tl <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />