2016-08-15_GENERAL DOCUMENTS - C1982056

Home Browse Search

PEABENE-01 GHADEPO ACORO " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/27/2016 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 NAAME:ME: Willis Towers Watson Certificate Center Willis of Tennessee, Inc. c/o 26 Century Blvd P.O. Box 305191 ac° No Ext : (877) 945-7378 aC No ; (888) 467-2378 ADDRESS: certificates@willis.com Nashville, TN 37230-5191 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Ironshore Specialty Insurance Company 25445 INSURED INSURER B: Starr Indemnity $ Liability Company 38318 Peabody Energy Corporation and Subsidiaries INSURER C: 701 Market Street Suite 700 INSURER D: 002860600 St. LOUIS, MO 63101-1826 INSURER E: INSURER F: MED EXP (Anyone person) $ 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 MMIDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE LK OCCUR X 002860600 08/01/2016 08/01/2017 PREMISES(Ea occu ence $ 5,000,000 MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 5,000,000 POLICY ❑ PRO- JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 5,000,000 $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea aceident BODILY INJURY (Per person) $ B X ANY AUTO 1000072649161 08/01/2016 08/01/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA OCCUR /� � l _ V EACH OCCURRENCE $ AGGREGATE $ EXCESS EXCESSLIAB CLAIMS -MADE 1 DED RETENTION$ 1b $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? L] (Mandatory in NH) NIA10N RUUPER pf RECLAM� St� 'ON OTH- STATUTE ER E.L EACH ACCIDENT $ E L DISEASE - EA EMPLOYE $ E L DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below �� N�NG 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) Re: Foidel Creek Mine, C1982-056 Covers operations including damage from surface coal mine operations, the use of explosives and damage to water wells. It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Additional Insured as respects to General Liability, but solely in regards to work being performed by or on behalf of the Named Insured. 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. AUTHORIZED REPRESENTATIVE Colorado Division of Reclamation, Mining and Safety 313 Sherman Street, Room 215 4 Denver CO 80203 € @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD