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2020-07-31_GENERAL DOCUMENTS - C1982057
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2020-07-31_GENERAL DOCUMENTS - C1982057
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Last modified
8/3/2020 10:11:15 AM
Creation date
8/3/2020 6:06:52 AM
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DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
7/31/2020
Doc Name
Certificate of Insurance
To
DRMS
Email Name
RAR
JLE
Media Type
D
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No
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Page 1 of 1 <br />DATE (MM,'DD%YYYY) <br />�►c�c��rr� CERTIFICATE OF LIABILITY INSURANCE <br />07/23/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,. certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER CONTACT Willis Towers Watson Certificate Center <br />NAME: <br />Willis Towers Watson Southeast, Inc.--- --- --- - <br />c/o 26 Century Blvd PAC.HONEExtL 1-877-945-7378 -AICNo: 1-888-467-2378 <br />P.O. sox 305191 ADDRESS: certificates@Willis.com <br />Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAIC# <br />INSURER A: ACE American Insurance Company 22667 <br />INSURED INSURER B: <br />Peabody Energy Corporation and Subsidiaries - - ---------_- <br />701 Market Street INSURERC: <br />Suite 700 INSURER D: <br />St. Louis, MO 631011826 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER- W17339543 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE ADOLSUBR POLICY EFF POLICY EXP <br />LTR POLICY NUMBER MM/DDIYYYY MM,DD YYYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000 <br />CLAIMS -MADE L X 1 OCCUR <br />DAMAGE TO RFNTEr_. <br />PREMISES.jEa occurrencej$_ 2,000,000 <br />A <br />MED EXP (Any one person) $ <br />BDOG71451343 08/01/2020 08/01/2021' <br />PERSONAL &ADV INJURY ',$ 2,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />X POLICY PRO, LOC <br />JECT _ <br />PRODUCTS - COMP'OP AGG $ 2,000,000 <br />OTHER: <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />_LEa_accident) <br />$ 2,000,000 <br />X 1 ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />A <br />OWNED SCHEDULED ISAH25310585 08/01/2020 08/01/2021 <br />BODILY INJURY (Per accident) <br />I $ <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />_ <br />PROPERTY DAMAGE <br />$ <br />AUTOS ONLY AUTOS ONLY <br />I LPeraccident)___, <br />UMBRELLA LlA6 OCCUR <br />Ji <br />EACH OCCURRENCE $ <br />EXCESS LIARr <br />_ 1 CLAIMS -MADE$ <br />I <br />i AGGREGATE <br />DED I ; RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />'P R 0?N <br />AND EMPLOYERS' LIABILITY YIN <br />I Sr TATUTE - EP - - <br />ANYPRO.' ECUTIVE NIA <br />MBER <br />AC ACCIDENT $ <br />OFFIGER�MEMBEREXCLUDED. �E. <br />OFFIC(MandER,M XCLUD 7 <br />tory In NH)I <br />' <br />E L. DISEASE -- EA EMPI JYEE <br />It yes. describe under <br />-----------_--- <br />DESCRIPTION OF OPERATIONS below <br />I E.L. DISEASE - POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS 'LOCATIONS, VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is required) <br />Named Insured: Seneca Coal Company, LLC, a Subsidiary <br />Covers operations at Seneca II -W Mine including damage from surface coal mine operations, <br />the use of explosives and <br />damage to water wells. <br />GtH 1 II I It NkJLUtH <br />Colorado Department of Natural Resources <br />Division of Reclamation, Mining and Safety <br />Room 215 <br />1313 Sherman Street <br />Denver, CO 802032273 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />SR ID: 19901111 BATCH: 1758394 <br />2 of 3 3549 <br />
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