2015-07-28_GENERAL DOCUMENTS - C1992081

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PEABENE-01 LEWISJY .4COR1J kft� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/22/2015 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 CONTNAME, Willis Certificate Center Willis of Tennessee, Inc. c/o 26 Century BlvdJA/C.No P.O. Box 305191 PHONE (g77) 945-7378 FAX No : (888) 467-2378 Ext ADDE-MARESS: 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: INSURER D: 701 Market Street INSURER E Suite 700 St. Louis, MO 63101-1826 08/01/2015 08/01/2016 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 UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE FXIOCCUR HDOG27396367 08/01/2015 08/01/2016 DAMAGE TO RENTIEU_ PREMISES Eaoccunence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 6,000,000 POLICY ❑ PRO ❑LOC JECT PRODUCTS -COMP/OP AGG $ 6,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5000000 Ea accident)> > BODILY INJURY (Per person) $ A X ANY AUTO ISAH08858299 08/01/2015 08/01/2016 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accldenl NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PEROTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? u N / A (Mandatory in NH) EL DISEASE - EA EMPLOYEE $ EL DISEASE -POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured: Hayden Gulch Terminal, Inc. Covers operations at Hayden Gulch Loadoul Facility including damage surface coal, etc., Permit C-92-081. 'jfrom EID i y { `/`/111 2015 CERTIFICATE HOLDER ^ .._ _%CANCELLATION C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACRD 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 215J 1313 Sherman Street Denver CO 80203-2273 r C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACRD