2018-08-07_GENERAL DOCUMENTS - M1978315

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Page 1 of 1 DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 07/26/2018 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 CERTIFIr.ATE 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 have ADDITIONAL INSURED provisions or 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 NAME: Willis of Tennessee, Inc. PHONE 1-877-945-7378 IFAX 1-888-967-2378 c/o 26 Century Blvd ®�A�� -M No,Extl; (A/C,No): ®R `fir.7- E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS:- Nashville, TN 372305191 USA INSURERIS)AFFORDING COVERAGE NAIC# __ __.__ -_- _.___ INSURER A: ACE American Insurance Company 22667 INSURED Peabody Energy Corporation INSURER B: 701 Market Street INSURER C: _ Suite 700 DIVISION OF RECLAM0 INSURER D St. Louis, MO 631011826 MINING AND SAFEV ------ - --- - -- - --- - -- INSURER E INSURER F COVERAGES CERTIFICATE NUMBER:W6990353 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. INSRT ADDL SUER POLIC POLICY EXP LIMITS LTR TYPE OF INSURANCE Y EFF POLICY NUMBER MMIDD MMIDD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE FI OCCUR PREMISES Ea occurrence $_ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $_ _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PELT LOC PRODUCTS-COMP/OP AGG $ _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ p, "- OWNED SCHEDULED y ISAH 25268398 08/01/2018 08/01/2019 BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ____ STATUTE _ER___ ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A -__-- -- -- -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE _$__ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Peabody Sage Creek Mining LLC - Red Rock Pit State Permit: M-78-315 County Permit: PP2011-018 It is agreed that Routt County Board of Commissioners, 136 6th Street, P.O. Box 773749, Steamboat Springs, CO 80477 is included as an Additional Insured as respects to Auto Liability where required contract or agreement. CERTIFICATEHOLDER CANCELLATION 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 1313 Sherman Street, Room 215 Denver, CO 80203 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16501781 BATCH: 803455