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2022-08-09_GENERAL DOCUMENTS - C1980005
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2022-08-09_GENERAL DOCUMENTS - C1980005
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Last modified
8/11/2022 8:53:02 AM
Creation date
8/9/2022 9:57:32 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
General Documents
Doc Date
8/9/2022
Doc Name
Certificate of Insurance
From
MARSH USA Inc
To
DRMS
Permit Index Doc Type
Insurance
Email Name
RAR
JLE
Media Type
D
Archive
No
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,acoRO® -DATE <br /> D <br /> CERTIFICATE OF LIABILITY INSURANCE 08/03/2022nYYY) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG14TS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIKR.-kT9-40ES 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. 41 <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 Marsh I U.S.Operations <br /> MARSH USA INC NAME - <br /> 540 W MADISON PHONE t 866 966 4664 A/C No): 212-948-0811 <br /> CHICAGO,IL 60661 E-MAIL Q ADDRESS: StLouis.CertRe uest Marsh Com <br /> INSURERS AFFORDING COVERAGE NAIC# <br /> 81 INSURER A:National Union Fire Insurance Comp.of Pittsburgh,PA 19445 <br /> INSURED INSURER B:N/A N/A <br /> Peabody Energy Corporation <br /> Seneca Coal Company,LLC INSURER C:Underwriters at Lloyd's of London 15792 <br /> Attn.Kala Collett <br /> Gateway One Building INSURER D <br /> 701 Market Street,Suite 700 INSURER E: <br /> St Louis,MO 63101-1826 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CHI-009884717-03 REVISION NUMBER: 2 <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 /> 1POLICY EFF POLICY EXP <br /> �TR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DD/YYYY MM DD/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY 7032448 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1,000,000 <br /> CLAIMS-MADE a OCCUR AMA E T RENTED 2,000,000 <br /> PREMISES Ea occurrence $ <br /> MED EXP(Any one person) $ 0 <br /> PERSONAL&ADV INJURY $ 1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 <br /> X PRO ❑ LOC PRODUCTS-COMP/OP AGG $POLICY❑JECT 2,000,000 <br /> OTHER $ <br /> A AUTOMOBILE LIABILITY 8682565 08/0112022 08/01/2023 COMBINED SINGLE LIMIT <br /> Ea $ 1,000,000 <br /> acadent <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per acadent <br /> r $ <br /> X UMBRELLAUAB N <br /> OCCUR 60 B 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1,000,000 <br /> ( "s <br /> EXCESS LIAB CLAIMS-MADE „ow+ ""�' AGGREGATE $ 1,000,000 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION � fl PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N � U STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? NIA <br /> (Mandatory in NH) OF RECLAMATION, E L DISEASE-EA EMPLOYEE $ <br /> If yes,describe under WV SI &SAFETY-MINERALS <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> RE operations at Seneca II-W Mine <br /> No explosion,collapse or underground damage exclusion is Included on the general liability policy <br /> CERTIFICATE HOLDER CANCELLATION <br /> Colorado Department of Natural Resources SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Division of Reclamation,Mining and Safety THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Room 215 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1313 Sherman Street <br /> Denver,CO 802032273 <br /> AUTHORIZED REPRESENTATIVE <br /> iYz!c,cndlc Zl.��f �occ. <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />
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