2016-08-11_GENERAL DOCUMENTS - C1992081

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PEABENE-01 GHADEPO ,d►coRO"CERTIFICATE OF LIABILITY INSURANCE ATE(M P `--� 7/27//201201YYY) 6 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 CONTACTWillis Towers Watson Certificate Center NAME:ME: PHONE (877) 945-7378 ac No , (888) 467-2378 ac Ext Willis of Tennessee, Inc. RECEIVED c/o 26 Century Blvd P.O. Box 305191 IL E-MAIL ADDRESS: certificates@willis.com Nashville, TN 37230-5191 AUG 1 1 2016 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Insurance Company 25445 INSURED DMSION OF RECLAMATION INSURER B: Starr Indemnity & Liability Company 38318 Peabody Energy Corporation b4""A" 'SEN INSURER C: 08/01/2016 701 Market Street Suite 700 INSURER D INSURER E, St. Louis, MO 63101-1826 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 SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP IY MM/DDYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Denver CO 80203-2273Vt'[1~ EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE Al OCCUR 002860600 08/01/2016 08/01/2017 PREMISES(Ea occurrence) $ 5,000,000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 5,000,000 POLICY ❑ PRO JECT 1:1LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident BODILY INJURY (Per person) $ B X ANY AUTO 1000072649161 08/01 /2016 08/01 /2017 ALL OWNED SCHEDULED AUTOSAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N I PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F—] ' a 'fi-p}{j------- N / A – - - E L DISEASE - EA EMPLOYE $ EL DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Excess Auto 002860500 08/01/2016 08/01/2017 Any Auto $ 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured: Hayden Gulch Terminal, LLC Covers operations at Hayden Gulch Loadoul Facility including damage from surface coal, etc., Permit C-92-081. CERTIFICATE HOLDER CANCELLATION @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 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 215 1313 Sherman Street Denver CO 80203-2273Vt'[1~ @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD