2015-07-28_GENERAL DOCUMENTS - C1982057 (2)

Home Browse Search

PEABENE-01 LEWISJY CERTIFICATE OF LIABILITY INSURANCE ATD/YYYY) P7//22/22212015 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 Willis of Tennessee, Inc. c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 37230-5191 CONTACTWillis Certificate Center NAME:ME: PHONE 877 945-7378 FAX N IC No Ext): ( ) A/c No : (888) 467-2378 AIC' E-MAIL certificates@willis.com ADDRESS. X COMMERCIAL GENERAL LIABILITY INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURED Peabody Energy Corporation and Subsidiaries INSURER B Attn: Robert Fenley INSURER C: INSURER D: 701 Market Street Suite 700 St. Louis, MO 63101-1826 INSURER E DAMAGE TO RENTE-U- PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 INSURER F: COVERAGES 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. INSR LTR TYPE OF INSURANCE ADDL INSD BR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDYW /Y LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 CLAIMS- MADE FXI OCCUR HDOG27396367 08/01/2015 08/01/2016 DAMAGE TO RENTE-U- PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,00 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000 POLICY ❑PRO a JECT LOC PRODUCTS -COMP/OP AGG $ 6,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea..,d.nt $ 5,000,000 A X ANY AUTO ISAH08858299 08/01/2015 08/01/2016 BODILY INJURY (Per person) $ ALL OWNEDSCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per acadent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ ^T . ,, WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? M (Mandatory in NH) If yes, describe under N/A 0..:. 4 ` 1` `"� ` r 1 :y- 41 v JJ PER STATUTE OERH E L EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ ,SII Ii�1 Ji�1✓ `.�^�7-�� JI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured: Seneca Coal Co., a Subsidiary Covers operations at Seneca II Mine and Seneca II -W Mine including damage from surface coal mine operations, the use of explosives and damage to water wells. CERTIFICATE HOLDER CANCELLATION Colorado Division of Reclamation, Mining 8r Safety 1313 Sherman Street, Room 215 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD