2020-07-31_GENERAL DOCUMENTS - C1981044 (2)

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^ Page 1 of 2 DATE (MM:DD,YYYY) ACC7KL� CERTIFICATE OF LIABILITY INSURANCE 07/23/2820 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 Towers Watson Southeast, inc. PHONE 1-877-945-7378 AIA No; 1-888-467-2378 c/o 26 Century Blvd EMAIL P.O. Box 305191 ADDRESS: certificates@Willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDINGCOVERAGE —NAICk INSURERA: ACE American Insurance Company 22667 INSURED INSURER B: Peabody Energy Corporation and Subsidiaries - - 701 Market street INSURERC: Suite 700 INSURER D: St. Louis, MO 631011826 INSURER E• COVERAGES CERTIFICATF NIIMRFR• W17339552 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. ADDL SU1AFW - - tLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DD/YYYY MM+DD:YYYY X COMMERCIAL GENERAL LIABILITY'. EACH OCCURRENCE $ 2,000, 000 CLAIMS -MADE X OCCUR DAMAGE O R ENTE D2,000,000 PREMISES (Ea occurrence).. $ A MED EXP (Any one person) $ y HDOG71451343 08/01/2020 08/01/2021 PERSONAL 8 ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X lPOLICYPRO LOC ____ JECT PRODUCTS-COMPOPAGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY iCOMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED ISAH25310585 08/01/2020 08/01/2021; BODILY INJURY (Per accident) ' S _ AUTOSONLY AUTOS _— HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident)_ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ;STAT UTE ER I - -- ANYPROPRIETOR:PARTNER,EXECUTIVEE.L. EACH ACCIDENT $ OFFICE R,MEMBEREXCLUDED? ❑ NIA ---- - - (Mandatory In NH) E.L. DISEASE EA EMPLOYEE, $ II yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ i DESCRIPTION OF OPERATIONS : LOCATIONS, VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) 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 Fork Mining, LLC (M-78-315); Seneca IIW and Yoast Mines - Seneca Property, LLC (C-92-057 6 C-94-082), Hayden Gulch Loadout - Hayden Gulch Terminal, LLC (C-92-081); Williams Fork Mines - Moffat County Mining, LLC (C-81-044); Foidel Creek Mine - Twentymile Coal, LLC CERTIFICATE HOLDER CANCELLATION Colorado Division of Reclamation, Mining and Safety, State Board of Land Commissioners 1313 Sherman Street, Room 215 Denver, CO 80203 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR iD. 19901111 13ATCH: 1758394 2 of 2 3543