2019-07-30_GENERAL DOCUMENTS - C1992081 (2)

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Page 1 of 1 DATE(MMIDDlYYYY) AC" R" CERTIFICATE OF LIABILITY INSURANCE 07/22/2019 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(les)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 Willis Towers Watson Certificate Center NAME: Willis of Tennessee, Inc. --- c/o 26 Century Blvd PHONE E : 1-877-945-7376 FAX, No: 1-888-467-2378 P.O. Box 305191 ��t� ADDRESS:_certificates@will is.com - Nashville, TN 372305191 USA INSURES AFFORDING COVERAGE NAIC Jf 1^ INSURED INSURER A: ACE American Insurance Company 22667 , 3o Z� y Peabody ]Snergy Corporation and Subsidiaries INSURER B:J - 701 Market Street ,.At,ON INSURgR C Suits700 Mo 631011826 �pN OF R�C'�'A ( INSURER D: o pN1M1N�N0 AND S INSURER E: —. ----- — INSURER F: COVERAGES CERTIFICATE NUMBER:W12091196 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. 1LT R TYPE OF INSURANCE INSD ADOL;SU D POLICY NUMBER MM/DDYYYYY I MDDIYYYY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTE CLAIMS-MADE , X OCCUR PREMISES_JEa occurrence) $ 2,000,000 A MED EXP(Any one person) $ HDOG71574003 08/01/20191108/01/2020pERSONALBADVINJURY ;$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X ' PRO- - - -- 2,000,000 POLICY JECT LOC PRODUCTS-COMP OP AGG $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 -LEA accident)-- _ __- X : ANY AUTO BODILY INJURY(Per person) $ A OWNED F-1 SCHEDULED ISJLH25302199 08/01/2019 08/01/2020 BODILY INJURY(Per accidenw $ AUTOS ONLY L-^ AUTOS HIRED I NON-OWNED PROPERTYDAMAGE AUTOS ONLY AUTOS ONLY {Per accident) $ I$ UMBRELLA LIM OCCUR EACHOCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER STATUTE ER AND EMPLOYERS'LIABILITY Y/N -� ANYPROPRIETORiPARTNERIEXECUTIVE E-L EACH ACCIDENT $ OFFICERWEMBEREXCLUDED? NIA (Mandatory In NH) E.L DISEASE EA EMPLOYEEI$ It yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It 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 HOLDER 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. Colorado Department of Natural Resources Division of Reclamation, Mining and Safety AUTHORIZED REPRESENTATIVE Room 215 1313 Sherman Street Denver, CO 802032273 'L ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sR zD: 18287549 EArcH: 1293074 3 of 3 269