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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
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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 /> DATE(MMIDDtYYYY) <br /> 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. E Me, <br /> c/o 26 Century Blvd PHONEExtIv 1-877-945-7378 aC No: 1-886-467-2378 <br /> P.O. Box 305191 ADDRESS: certificates@willis.com <br /> Nashville, TN 372305191 USA INSURERS)AFFORDING COVERAGE _NAIC# <br /> INSURERA: ACE American Insurance Company 22667 <br /> INSURED <br /> 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:W17339546 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 ADDL 5UBR POLICY NUMBER MM D YYYY MMD YYYY LIMITS <br /> LTRINSIXX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 <br /> DAMAGE NTED <br /> CLAIMS-MADE X OCCUR PREMISES TO <br /> �lEa occurrence) _,$ 2,000,000 <br /> A MED EXP(Any one person) $ <br /> HDOG71451343 08/01/2020 08/01/2021', PERSONALt£ADVINJURY $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 <br /> X POLICY PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> JECT <br /> OTHER $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 <br /> jEa accident) <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> A OWNED SCHEDULED ISAR25310585 08/01/2020'08/01/2021': BODILY INJURY(Per accident) $ <br /> AUTOS ONLY — AUTOS .._— <br /> HIRED NON-OWNED PROPERTYDAMAGE <br /> AUTOS ONLY �� AUTOS ONLY ;_(Per accident) <br /> UMBRELLA LIAB �y OCCUR EACHOCCURRENCE <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION OTH- <br /> AND EMPLOYERS'LIABILITY y/N STATUTE --ER _ <br /> ANYPROPRIETOR!PARTNER'EXECUTIVE E.L.EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? N/A ,: f- --- - - -- <br /> (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ <br /> II yes.describe under _ ------- <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Named Insured include: Seneca Property, LLC <br /> Covers operations at Yoast Mine including damage form Surface Coal Mine, Yoast Mine operations, the use of explosives <br /> 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 s Safety AUTHORIZED REPRESENTATIVE <br /> 1313 Sherman Street, Room 215 i <br /> Denver, CO 80203 <br /> 01988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> SR ID: 19901111 HATCH: 1758394 <br /> 3 of 3 3550 <br />
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