2019-07-30_GENERAL DOCUMENTS - C1994082 (2)

Home Browse Search

^ Page 1 of 1 DATE(MM/DD/YYYY) AC'URO 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(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 Willis Towers Watson Certificate Center NAME: _ Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd 1-877-945-7378 A/C, /C No: 1-888-467-2378 P.O. Box 305191 ADDRESS: Certificates@Willis.core Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC Jt INSURERA: ACE American Insurance Company 22667 INSURED INSURER B., Peabody Energy corporation and Subsidiaries 701 Market Street INSURER C: Suite 700 INSURER D: St. Louis, NO 631011826 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W12091203 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. ILT R ADDTYPE OF INSURANCE INSD SUER POLICY NUMBER MM/DDIYYY !(POLICY MM II D YYYY LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PRSES(Ea occurrence) $__ 2,000,000 EMI A MED EXP(Any oneperson) $ HDOG71574003 '08/01/2()19!08/01/2020, PERSONAL&ADV INJURY $ 2,000,000 2,000,000$ GEN'L AGGREGATE LIMIT APPLIES PER. i GENERAL AGGREGATE _ X POLICY PRO LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER, $ AUTOMOBILEUABIUTY COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO I BODILY INJURY(Per person) $ A OWNED I SCHEDULED ISAH25302199 08/01/2019108/01/2020 BODILY INJURY(Per accident);$ AUTOS ONLY AUTOS --- HIRED }� NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY I ! AUTOS ONLY {P�r aCcidenQ. I R51U IV UMBRELLA LIAB OCCUR EACHOCCURRENCE $ EXCESS UAB ~'CLAIMS-MADE AGGREGATE $ DED ^' RETENTIQN$ ^,z JU 1$ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITYT ANYPROPRIETOR/PARTNER EXECUTIVE Y/N REC V` EL EACH ACCIDENT $ F � D EXCLUDED7 N �1S�QN O (Mandatory in NH � AD 1�JA�� i1G p EL DISEASE EA EMP_ LOYEE $ II es,describe under 1, DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ I II! I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Named Insured include: Seneca Property, LLC. Covers operations at Seneca II Mine, Seneca II-W Mine and Yoast Mine including damage from surface coal mine operations, the use of explosives and damage to water wells. 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 Division of Reclamation, Mining 6 Safety AUTHORIZED REPRESENTATIVE 1313 Sherman Street, Room 215 f`p it 1 Denver, CO 80203 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sat ID: 18287549 RATcH: 1293074 2 of 3 270