2015-07-28_GENERAL DOCUMENTS - C1982057

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PEABENE-01 LEWISJY ACORL7 CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DD/YYYY) P7/22/2015 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 Certificate NAME: Center Willis of Tennessee, Inc. c/o 26 Century Blvd(AIC.No P.O. Box 305191 PHONE (g77) 945-7378 (FAX, No ; (888) 467-2378 Ext: ADDE-MRESS: certificates@willis.com Nashville, TN 37230-5191 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:ACE American Insurance Company 22667 INSURED Peabody Energy Corporation and Subsidiaries Attn: Robert Fenley INSURER B: INSURER C : CLAIMS -MADE [XI OCCUR 701 Market Street INSURER D: INSURER E: Suite 700 St. Louis, MO 63101-1826 INSURER F CnVFRAGFS CERTIFICATE NUMBER: 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 ILTR TYPE OF INSURANCE ADDLISUBR INSD WVD POLICY NUMBER POLICY EFF MM DD/YYYY POLICY EXP MM DD//YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Denver CO 80203-2273 EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE [XI OCCUR HDOG27396367 08/01/2015 08/01/2016 DAMAGE TO PREMISES Eaoccu RENTED $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000 POLICY � PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 Ea accident BODILY INJURY (Per person) $ A X ANY AUTO ISAH08858299 08/01/2015 08/01/2016 BODILY INJURY (Per accident) $ ALL OWNEDSCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per acadent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY YIN_ ANY PROPRIETOR/PARTNERIEX OFFICER/MEMBER EXCLUDED ECUTIVE EJ (Mandatory in NH) N / A 1 i�. OTH- STATUTE ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below r JUL.) CLA.MATION DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule may attached if more space is required) Named Insured: Seneca Coal Co., a Subsidiary Covers operations at Seneca II -W Mine including damage from surface coal mine operations, the use of explosives and damage to water wells. CFRTIFICATF Hnl nFR CANCELLATION ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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 AUTHORIZED REPRESENTATIVE Division of Reclamation, Mining and Safety Room 215i/t.( 1313 Sherman Street J' f ~ Denver CO 80203-2273 ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD