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AGENCY CUSTOMER ID: <br />LOC #: <br />ACC>RR" AnnlTIMIA1 RFnneRkS -qr-wi=ni II F <br />AGENCY <br />Willis Towers Watson Southeast, Inc. <br />POLICY NUMBER <br />See Page 1 <br />CARRIER <br />See Page 1 <br />NAMED INSURED <br />Peabody Energy Corporation and Subsidiaries <br />701 Market Street <br />Suite 700 <br />St. Louis, MO 631011826 <br />NAIC CODE <br />See Page 1 [j-FFEC TIVE DATE: -See Page 1 <br />AUUI f IUNAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance <br />(C-82-056); Sage Creek Mine - Peabody Sage Creek Mining, LLC (C-09-087). <br />Pane 2 of 2 <br />Covered entities include Peabody Energy Corporation and all associated subsidiaries operating in the noted coverage <br />areas. <br />Colorado Department of Natural Resources, Colorado Division of Reclamation, Mining & Safety and the State Board of <br />Land Commissioners are included as Blanket Additional Insured with respect to General Liability, where required by <br />contract or agreement. General Liability limits, as noted in the Certificate, include each covered operation/property, <br />and are restricted only as designated (i.e.: Each Occurrence or Any One Person ). County Governments and/or County <br />Commissioners are identified as an Blanket Additional Insured parties with respect to the General Liability coverage, <br />however this coverage is limited to their interest(s)in the operations and activities of the Named Insured, and only <br />for such terms and limits which are the lesser of the policies hereon, or the written requirements and/or agreements <br />between the Named Insured and the Certificate Holder(s). <br />ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SR ID: 19901111 BATCH: 1758394 CERT: W17339552 <br />