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<br /> . 11114 0� CERTIFICATE OF LIABILITY INSURANCE DATE(M2/2019
<br /> 07/22/2019
<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(les)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 CONTACT
<br /> NAME: Willis Towers Watson Certificate Center
<br /> Willis of Tennessee, Inc.
<br /> C/o 26 Century Blvd PHONE 1-877-945-7378 AX No: 1-888-467-2378
<br /> P.O. Box 305191 ADDRESS: certificates@wil_lis.corn
<br /> Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC if
<br /> _ INSURERA: ACE American Insurance Company 22667
<br /> INSURED INSURER B:
<br /> Peabody Energy Corporation and Subsidiaries
<br /> 701 Market Street INSURER C:
<br /> Suite 700 INSURER D:
<br /> 8t. Louis, NO 631011826
<br /> INSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W12091208 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 /> ILTR? TYPE OF INSURANCE ADDLSUBR( pOLICYNUMBER POLICY EFF
<br /> 1 M�WYYYY LIMITS
<br /> LTR
<br /> X COMMERCIAL GENERALLtABILITYEACH OCCURRENCE $ 2,000,000
<br /> CLAIMS-MADE X OCCUR PREMISES(Ea occurrence] _.j_$___ 2,000,000
<br /> A MED EXP(Any one person) $
<br /> Y HDOG71574003 08/01/2019108/01/2020 PERSONAL BADV INJURY $ 2,000,000
<br /> E LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000
<br /> GEN'L AGGREGAT
<br /> X . POLICY' PRO-
<br /> JECT LOC PRODUCTS-COMPIOPAGG $ 2,000,000
<br /> �
<br /> OTHER $
<br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000
<br /> _l a accident)
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> A OWNED F-7 SCHEDULED ISAK25302199 08/01/2019 08/01/2020! BODILY INJURY(Per accdent). $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNEDrPROPERTYDAMAGE
<br /> AUTOS ONLY ��AUTOS ONLY ,I (Per accident) ,$
<br /> is
<br /> UMBRELLA LIAB OCCUR EACHOCCURRENCE $
<br /> RECEIVED EXCESS LIAB CLAIMS-MADE AGGREGATE $
<br /> DED RETENTION$ I $
<br /> WORKERS COMPENSATION JUL I STATUTE ER
<br /> TH-
<br /> AND EMPLOYERS'LIABILITY y I N -
<br /> ANYPROPRIETORIPARTNERIEXECUTIVE E L.EACH ACCIDENT is
<br /> OFFICER/MEMBEREXCLUDED? Li
<br /> NIA
<br /> (Mandatory In NH) DIVISION OF RECLAMATION E L.DISEASE-EA EMPLOYEfi�.________
<br /> II yes,describe under MINING AND SAFETY'
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
<br /> I, I
<br /> � I
<br /> I
<br /> i I
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I 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 /> 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 �` ¢1
<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: 18287549 BATCH: 1293074
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