My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2016-08-11_GENERAL DOCUMENTS - C1994082
DRMS
>
Day Forward
>
General Documents
>
Coal
>
C1994082
>
2016-08-11_GENERAL DOCUMENTS - C1994082
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/27/2018 3:21:16 PM
Creation date
8/12/2016 10:45:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
General Documents
Doc Date
8/11/2016
Doc Name
Certificate of Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JHB
JRS
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PEABENE-01 GHADEPO <br />,acoRO`CERTIFICATE OF LIABILITY INSURANCE <br />ATE(M <br />7/27//201201YYY) <br />r6 <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 endorsem s.ut �! ;" - <br />PRODUCER q„R, �• <br />Willis of Tennessee, Inc. <br />c/o 26 Century Blvd ; <br />P.O. Box 305191 ASG 1��� <br />Nashville, TN 37230-5191 <br />r Willis Towers Watson Certificate Center <br />NAME: <br />NAME: <br />PNC 877 945-7378 F4X (888) 467-2378 <br />AIC No Ext): ( ) AIC No <br />ADDRESS: certificates@willis.com <br />X I COMMERCIAL GENERAL LIABILITY <br />A'O►1 <br />1� <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURERA:lronshore Specialty Insurance Company 25445 <br />N9� R�' <br />INSURED <br />INSURER B: Starr Indemnity & Liability Company 38318 <br />Peabody Energy Corporation and Subsidiaries <br />701 Market Street <br />INSURER C: <br />Suite 700 <br />INSURER D: <br />INSURER E: <br />St. Louis, MO 63101-1826 <br />INSURER F: <br />MED EXP (Any one person) $ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 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 />SUBR <br />WVD <br />POLICY NUMBER <br />POLIC <br />MM/DDY EFF <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X I COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 5,000,000 <br />CLAIMS -MADE T OCCUR <br />002860600 <br />08/01/2016 <br />08/01/2017 <br />DAMAGE T R N 5 000 000 <br />PREMISES Ea occu rence $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE $ 5,000,000 <br />POLICY ❑ PRO- ❑ <br />JECT LOC <br />PRODUCTS - COMP/OPAGG $ 5,000,000 <br />$ <br />OTHER. <br />AUTOMOBILE <br />LIABILITY <br />EOM�BIINdEeD SINGLE LIMIT $ 2,000,000 <br />B <br />X <br />ANY AUTO <br />1000072649161 <br />08/01/2016 <br />08/01/2017 <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />Per accident) <br />BODILY INJURY( ) $ <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per acc dent <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />STATUTE I I ER <br />L. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVEE <br />OFFICER/MEMBER EXCLUDED? <br />N I A <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />A <br />Excess Auto <br />002860500 <br />08/01/2016 <br />08/01/2017 <br />Any Auto $ 3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Named Insured include: Seneca Property, LLC. <br />Covers operations at Seneca II Mine, Seneca 11-W Mine and Yoast Mine including damage from surface coal mine operations, the use of explosives and <br />damage to water wells. <br />CERTIFICATE HOLDER CANCELLATION <br />Colorado Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <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 />© 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />
The URL can be used to link to this page
Your browser does not support the video tag.