2022-08-09_GENERAL DOCUMENTS - M1978315

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ATE ACoORL> CERTIFICATE OF LIABILITY INSURANCE D08/03/2022DnYYY) 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 CONTANAME:CT MARSH USA INC Marsh U.S.Operations 540 IN MADISON PHONE 866 966 4664 a� No 212-948-0811 CHICAGO,IL 60661 ADDRESS:E A ENF, E-MAIL StLouls CertReq ues Marsh Com (`�-, INSURERS AFFORDING COVERAGE NAIC# 90 INSURER A:National Union Fire Insurance Comp of Pittsburgh,PA 19445 INSURED PeabodyEnergy Corporation AUG INSURER B:N/A NIA Peabody Sage Creek Mining,LLC INSURER D: INSURER C:Underwriters at Lloyd's of London 15792 Gateway CollBuilding DIV►SION OF RECLAMATION, &S 701 Market Street,Suite 700 MINING SAFE -MINERALS INSURER E: St Louis,MO 63101-1826 INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-009884749-03 REVISION NUMBER: 3 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 TYPE OF INSURANCE ADDL SUERPOLICY POLICY NUMBER MM DYYY D/ Y POLICY EXP LTR /DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE OCCUR FIR SES(E.or ence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO- JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER $ A AUTOMOBILE LIABILITY X 8682565 08/01/2022 08/01/2023 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR B0509BOWCN2250874 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N SPTER ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED' N/A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re Red Rock Pit State Permit M-78-315 County Permit PP2011-018 Routt County Board of Commissioners,136 6th Street,P 0 Box 773749,Steamboat Springs,CO 80477 is included as Additional Insured where required by written contract CERTIFICATE HOLDER CANCELLATION Colorado Division of Reclamation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mining and Safety THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1313 Sherman Street,Room 215 ACCORDANCE WITH THE POLICY PROVISIONS. Denver,CO 80203 AUTHORIZED REPRESENTATIVE 2zlalr" 19"e, ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD