2018-08-08_GENERAL DOCUMENTS - C1992081

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Page 1 of 1 A� ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMID) Fo7126/20182o1g 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 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 Willis of Tennessee, Inc. CenturyBlvd P0.Box 305191 Nashville, TN 372305191 DSA R�r� \dl G CONTACT NAME: ONE FAX 1-888-467-2378 C 1_8 - AIC No): (MExt): NIA" certificates@willis.com INSURERS AFFORDING COVERAGE NAIL # INSURER A: ACE American Insurance Company 22667 -INSURER INSURED�r ; � 0 � � �� I Peabody Energy Corporation and Subsidiaries lJ 701 Market Street �{ Suite 700 cLp'%1 D St. Louis, No 631011826 DIVISION OF 1 SAFE B: . INSURER C INSURER D: INSURER E: INSURER F: DItINING AN [ COVERAGES tlom 11rIliA 1 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 SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Division of Reclamation, Mining and Safety Room 215 1313 Sherman Street r 11� k�qx:i EACH OCCURRENCE $ 2,000,000 DAMAG TO RENTED 2,000,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ _ A Boos 71209003 08/01/2018 08/01/2019 PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY ❑ PRO ❑ LOC X JECT PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea acadent BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ISAH 25268398 08/01/2018 08/01/2019 PROPERTY DAMAGE $ Per acudent UMBRELLA LIABOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION PER OTH- STATUTE ER E L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ElDISEASE -EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED ❑ (Mandatory in NH) NIA 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) Named Insured: Hayden Gulch Terminal, LLC Covers operations at Hayden Gulch Loadoul Facility including damage from surface coal, etc., Permit C-92-081. CERTIFICATE HOLDtK 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 r 11� k�qx:i Denver, CO 802032273 € ._. ......, nnar wnnnn rnoon10ATlntd All in hon YPCP NPlI ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16501781 BATCH: 803455