2019-07-30_GENERAL DOCUMENTS - M1982036 (2)

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Page 1 of 2 ��-�si►0� CERTIFICATE OF LIABILITY INSURANCE DATE 07/22/2019/2D19 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((es)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 E Nillis Towers Watson Certificate Cantor Willis of Tsnnesses, Inc. PHONE c/o 26 Century Blvd . 1-077-915-7378 At N 1-888-C67-2378 P.O. Box 305191 ADDRESS.• certificatow8willis.cam Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC Y INSURERA: ACE American Insurance Company 22667 INSURED - INSURER B Peabody Bnergy Corporation and subsidiaries 701 Market street INSURER C: Buito 700 INSURER O: 8t. Louis, NO 631011626 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:W12091206 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. 1N8F i TYPE OF INSURANCE I1DCL SUER POLICY �� F MM�DdY E UNITS LTRX:COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE ;$ 2,000,000 DAMAGE TO RENTED CLAIMS •MADE - X:OCCUR i JPREMISE$(EaoccWrsncel _ I-S__-- 2,000,000 A •---• MED EXP(Any one person) S Y RD0071574003 :06/02/2019 00/01/2020' PERSONAL 6ADVINJURV $ 2,000,000 G_EN'L AGGREGATE LIMIT APPLIES PER �_GENERAL AGGREGATE i$ _ 2,000,000 PRO. ( 2,000,000 X l POLICY' JECT __LOC PRODUCTS-COMPIOP AGG S OTHER BINE $ AUTOMOSILEUABILJTY a acoaeDtSINGL LIMIT `-,.$ 2,000,000 X ANY AUTO BODILY INJURY(Per person) S A OWNED i SCHEDULED ISAR25302199 08/01/2019 08/01/2020 BODILY INJURY(Per amwenq.S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE ;$ AUTOS ONLY AUTOS ONLY tMBRELLAUAB OCCUR ; RECEI EACHOCCURRENCE S EXCESS LAB `_CLAIMS MADE I AGGREGATE i$- - - DED ^^RETENTIONS $ WORKERSCOMPENSATION JUL 30 7ATUTE ER AND EMPLOYERS'UABILITY YIN I r ANYPROPRIETORtPARTNERIEXECUTIVE I E L.EACH ACCIDENT $ OF�FI��EI NErnREXCLUDEDP ❑ "'A DIVISION OF RECLAMATION yy ��y E L.DISEASE EA EMPLOYEE S tugs.dSCR sardw N ur OPERATIONS below MINING AND SAF s, E.L.DISEASE•POLICY LIMIT.$ • I t DESCRIPTION OF OPERATIONS I t OCATK1r1S r VEHICLES(ACORD 101,Additional Remarks Scbedu*may be etbelred N more spas Is requYed) Additional Named Insureds as follows: Covers operations in Routt and Moffat Counties, Colorado, including but not limited to damage from surface coal operations, the use of explosives, and damage to water wells. Covered operations/properties include: Mesa Gravel Pit - Peabody Sage Creek Mining, LLC (M-82-036); Red Rock Gravel Pit - Peabody Williams rork Mining, LLC (M-78-315); Seneca IIW and Yoast Mines - Seneca Property, LLC (C-92-057 6 C-94-092), Hayden Gulch Loadout - Hayden Gulch Terminal, LLC (C-92-081); Williams rock Mines - Moffat County Mining, LLC (C-81-044); roidel Creek Mine - Twentymile Coal, LLC 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 and Safety, AUTHORIZED REPRESENTATIVE state Board of Land Comwissioners 1313 Sharman Street, Room 215 /;, �f%rrfy,•�f Denver, CD $0203 �•/yb<yv� `f"T O 1986-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD rams and logo are registered marks of ACORD 19267549 SAse111: 1293074 202 264