2020-08-04_GENERAL DOCUMENTS - C1982056

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^ Page 1 of 1 DATE(MM;DD,YYYY) ,d►co�z�� CERTIFICATE OF LIABILITY INSURANCE E07/27/2020 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 : AIC No: E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAICY INSURERA: ACE American Insurance Company 22667 INSURED INSURER B: Apollo Liability Consortium 9984 D1074 Peabody Energy corporation -- - - 701 Market Street INSURERC: Suite 700 INSURERD: St. Louis, MO 631011826 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:W17354590 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. INSR`--------_---- -_ -- ADDLSUBR - -_- ---- ------_-- - POLICY EFF. POLICY EXP ------ _--- LTR TYPE OF INSURANCE POLICY NUMBER MM�DDiYYYY) (MM2DD.YYYY LIFTS X COMMERCIAL GENERAL LIABILITY : EACHOCCURRENCE is 2,000,000 RENTEDDAMAGE TO i 2,000,000 CLAIMS MADE (_� OCCUR PREMISES jEa occurrengeL,._ $ A MED EXP(Any one person) $ Y HDOG71451343 08/01/2020 08/01/20211 PERSONAL&ADV INJURY i$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X !. POLICY PRO- LOC PRODUCTS COMP'OP AGG $ 2,000,000 JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ - LEA accident)__ ANY AUTO BODILY INJURY(Per person) - $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident $ B X UMBRELLA LIAB X OCCUR , _EACH OCCURRENCE $ 3,000,000 EXCESS LIAB ( CLAIMS-MADE B080117743U20 08/01/202OiDS/01/2021`gGGREGATE $ 3,000,000 DED X RETENTION$ 25,000 ' $ WORKERS COMPENSATION j AND EMPLOYERS'LIABILITY YIN STATUTE ERH- __ ANYPROPRIETOR'PARTNER,'EXECUTIVE E.L.EACH ACCIDENT ti OFFICERMEMBEREXCLUDED? ��NIA f-- ------- - _- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $_ If yes,describe under - -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ! $ I I DESCRIPTION OF OPERATIONS LOCATIONS,VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space is required) RE: Twentymile Coal, LLC It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Additional Insured as respects to General Liability where required by contract or agreement. Covers operations at Twentymile Coal, 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. AUTHORIZED REPRESENTATIVE Colorado Division of Reclamation, Mining and Safety 1313 Sherman Street, Room 215 Denver, CO 80203 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 19908802 BATCH: 1760441 2 of 2 1235