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2020-07-31_GENERAL DOCUMENTS - C1982057 (2)
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2020-07-31_GENERAL DOCUMENTS - C1982057 (2)
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Last modified
12/19/2024 7:21:50 AM
Creation date
8/3/2020 10:50:48 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
7/31/2020
Doc Name
Certificate of Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
RAR
JLE
Media Type
D
Archive
No
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_ Page 1 of 1 <br /> ,44C_"1?"� CERTIFICATE OF LIABILITY INSURANCE EDUDD!YY <br /> ��. 07/2 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 NAME: Willis Towers Watson Certificate Center <br /> Willis Towers Watson Southeast, Inc. PHOIAC.NENo, 1-877-945-7378 AX No: 1-888-d67-2378 <br /> c/o 26 Century Blvd E-MAIL <br /> P.O. Box 305191 ADDRESS: certificates@willis.com <br /> Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC k <br /> INSURER A: ACE American Insurance Company 22667 <br /> INSURED INSURER B: <br /> Peabody Energy Corporation and Subsidiaries - -- <br /> 701 Market Street INSURER C: <br /> Suite 700 INSURER D: <br /> St. Louis, HO 631011826 <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:W17339548 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. -.... . ...... .. AUDL'SUBRI .. .---POLICYEFF POUCYEXP , __... ....__ <br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY : LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE TORENTff- <br /> CLAIMS-MADE i X OCCUR PREMISES $ 2,000,000 <br /> A MED EXP(Any one person) $ <br /> HDOG71451343 08/01/2020i08/01/2021` <br /> PERSONAL&ADVINJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY- PRO LOC PRODUCTS-COMP+OPAGG $ 2,000,000 <br /> JECT <br /> OTHER: $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT is 2,000,000 <br /> (Ea accidentj- <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED ISAH25310585 08/01/2020 08/01/2021 BODILY INJURY(Per accident)'$ <br /> AUTOS ONLY IAUTOS <br /> HIRED i NON-OWNED PROPERTY DAMAGE <br /> AUTOS ONLY AUTOS ONLY (Per accident) $ <br /> i <br /> UMBRELLA LIAB OCCUR EACHOCCURRENCE $ <br /> EXCESS LIAB <br /> CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION STATUTE i ER I <br /> AND EMPLOYERS'LIABILITY y/N ,, -- -- -- <br /> ANYPROPRIETOR!PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT ! $ <br /> OFFICER!MEMBEREXCLUDED? N/A -- <br /> (Mandatory in NH) j E.L.DISEASE EA EMPLOYEE $ <br /> II yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> j <br /> I <br /> f <br /> DESCRIPTION OF OPERATIONS/LOCATIONS r VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) <br /> Named Insured include: Seneca Property, LLC. <br /> Covers operations at Seneca II Mine, Seneca II-W Mine and Yoast Mine including damage from surface coal mine <br /> operations, the use of explosives and damage to water wells. <br /> CERTIFICATE HOLDER CANCELLATION <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 /> Colorado Division of Reclamation, Mining 6 Safety AUTHORIZED REPRESENTATIVE <br /> 1313 Sherman Street, Room 215 ! <br /> Denver, CO 80203 �` � {` F <br /> 01988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> SA ID: 19901111 BATCH: 1758394 <br /> 2 of 3 3550 <br />
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