2020-07-31_GENERAL DOCUMENTS - M1978315

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Page 1 of 1 DATE(MM.'DD,YYYY) .4C-c�1�Ll� CERTIFICATE OF LIABILITY INSURANCE F07/23/2020 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 Tourers Watson Certificate Center NAME: Willis Towers Watson Southeast, Inc. PHONE 1-877-945-7378 FAX(A/C No: 1-888-467-2378 c/o 26 Century Blvd E-MAIL P.O. Box 305191 ADDRESS: certificates@willie.com Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAICA INSURERA: ACE American Insurance Company 22667 INSURED INSURER B Peabody Enerqy corporation -- - -- 701 Market Street INSURER C: Suite 700 INSURER D: St. Louis, MO 631011826 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W17339550 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. INSR — --- A6iSL'SUBR - -__ - POLICY EFF -1_POLICY EXP LTR TYPEOFINSURANCE ANSID WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE O RENTED - - CLAIMS MADE OCCUR PREMISES_jEaoccurrence) $ MED EXP(Any one person) $ i PERSONAL&ADV INJURY $ GEN1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ — OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 _LE_a_accidenti _ x i ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y ISAR25310585 08/01/20200 8/01/2 021 1 BODILY INJURY(Pe $ AUTOS ONLY AUTOS - HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Is UMBRELLA LIAB OCCUR EACHOCCURRENC_E $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION PER CITH- STATUTE ER ANO EMPLOYERS'LIABILITY YIN � -� ANYPROPRIETORPARTNER/EXECUTIVE E L.EACH ACCIDENT $ .OFFICER.-MEMBER EXCLUDED? ❑ NIA --- - (Mandatory In NH) E.I_.DISEASE EA EMPLOYEE $ _____ If as.describe under `— DESCRIPTION OF OPERATIONS beow E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS:LOCATIONS,VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached it more space is required) Re: Peabody Sage Creek Mining LLC - Red Rock Pit State Permit: M-78-315 County Permit: PP2011-018 It is agreed that Routt County Board of Commissioners, 136 6th Street, P.O. Box 773749, Steamboat Springs, CO 80477 is included as an Blanket Additional Insured as respects to Auto Liability where required contract or agreement. 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. AUTHORIZED REPRESENTATIVE Colorado Division of Reclamation, Mining and Safety 1313 Sherman Street, Room 215 Denver, CO 80203 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 19901111 HATCH: 1758394 2 of 3 3548