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Page 1 of 2 <br />A�RDa. I" <br />�JA CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/D2019 ) <br />o2/0l/2019 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Willis of Tennessee, Inc. <br />c/o 26 Century Blvd <br />P.O. Box 305191 <br />CONTACT <br />NAME: <br />PHONE 1-877-995-7378 FAX 1-888-467-2378 <br />AIC No Ext): AIC No <br />ADDE-MARESS: certificates@willis.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Nashville, TN 372305191 USA <br />INSURERA: ACE American Insurance Company <br />22667 <br />INSURED <br />Peabody Energy Corporation and Subsidiaries <br />INSURER B : <br />$ 2,000,000 <br />CLAIMS -MADE � OCCUR <br />701 Market Street <br />INSURER C <br />INSURER D <br />Suite 700 <br />St. Louis, MO 631011826 <br />INSURER E <br />INSURER F: <br />$ <br />A <br />COVERAGES CERTIFICATE NUMBER: W10027831 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 />POLICY EFF <br />MM/DDIYYYY <br />POLICY EXP <br />MM/DDIYYYY <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 2,000,000 <br />CLAIMS -MADE � OCCUR <br />a RDAMAGE TO ENTED <br />PREMISES <br />$ 2,000,000 <br />MED EXP (Any one person) <br />$ <br />A <br />Y <br />HDOG 71209003 <br />08/01/2018 <br />08/01/2019 <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />GEML <br />X <br />POLICY ❑ JECT PRO- [:]LOC <br />PRODUCTS - COMP/OPAGG <br />$ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2,000,000 <br />BODILY INJURY (Per person) <br />$ <br />X <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />ISAH 25268398 <br />08/01/2018 <br />08/01/2019 <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N/A <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Additional Named Insureds as follows: <br />Covers operations in Routt and Moffat Counties, Colorado, including but not limited to damage from surface coal <br />operations, the use of explosives, and damage to water wells. Covered operations/properties include: Mesa Gravel Pit <br />- Peabody Sage Creek Mining, LLC (M-82-036); Red Rock Gravel Pit - Peabody Williams Fork Mining, LLC (M-78-315); <br />Seneca IIW and Yoast Mines - Seneca Property, LLC (C-92-057 & C-94-082), Hayden Gulch Loadout - Hayden Gulch Terminal, <br />LLC (C-92-081); Williams Fork Mines - Moffat County Mining, LLC (C-81-044); Foidel Creek Mine - Twentymile Coal, LLC <br />CERTIFICATE HOLDER CANCELLATION <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SR ID: 17479287 BATCH: 1051952 <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 />Colorado Division of Reclamation, Mining and Safety, <br />AUTHORIZED REPRESENTATIVE <br />State Board of Land Commissioners <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203` <br />R <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SR ID: 17479287 BATCH: 1051952 <br />