2020-07-31_GENERAL DOCUMENTS - M1978315

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Page 1 of 1 �� DATE(MM'DDTYYY) , 11.� e� CERTIFICATE OF LIABILITY INSURANCEF 07/ �. 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 Towers Watson Certificate Center NAME: _ Willis Towers Watson Southeast, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd A/C No): P.O. Box 305191 ADDRESS: certificates@willie.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAICC INSURERA: ACE American Insurance Company 22667 INSURED INSURER B: Peabody Energy Corporation ----------- - - - - - - - 701 Market Street INSURER C: Suite 700 INSURER D: St. Louis, MO 631011826 - INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W17339551 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. IN507 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMrDDIYYYY MMMDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 2,000,000 DAMAGEO CLAIMS MADE X� OCCUR PREMISE$tEa occurrence) 2,000,000 A MED EXP(Any one person) $ Y HDOG71451343 08/01/2020 08/01/2021L PERSONALA�VINJURY 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE I$ 2,000,000 x POLICY PRO- 2,000,000 JECT LOC PRODUCTS-COMP%OP AGG $ OTHER $ AUTOMOBILE UABIUTY I COMBINED SINGLE LIMIT $ j ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED { BODILY INJURY(Per accident)j$ AUTOS ONLY AUTOS PRO HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY '.JPer accident) UMBRELLA LIAB _ . 00CUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION STATUTE ER OTH- AND EMPLOYERS'LIABILITY YIN -- -- ANYPROPRIETOR:PARTNER.'EXECUTIVE ❑ I E.L.EACH ACCIDENT _.($ M OFFICE RrMEBEREXCLUDED? NIA (Mandatory in NH) E.L.DISEASE EA EMPLOYEEi$ It Yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS t LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Re: Peabody Sage Creek Mining, LLC It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Blanket Additional Insured as respects to General Liability where required by contract or agreement. Covers operations at Peabody Sage Creek Mining, LLC including the use of explosives. 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 1313 Sherman Street, Room 215 ! ` Denver, CO 80203 - 'Lr.c.�-f 'B-` `If' •, ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR xo: 19901111 BATCH: 1758394 3 of 3 3548