Laserfiche WebLink
DATE(MM/DD/YYYY) <br /> ACQR" CERTIFICATE OF LIABILITY INSURANCE 08/03/2022 <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 Marsh U S Operations <br /> MARSH USA INC NAME: I P <br /> 540 W M AMINO PHONE 866-966-4664 FAX 212-948-0811 <br /> A/C No): <br /> CHICAGO,IL 60661 �/ EMAIL StLouis CertRequest@Marsh Com <br /> (W� i`( <br /> R ADDRESS: <br /> INSURER S AFFORDING COVERAGE NAIC# <br /> 93 INSURER A:National Union Fire Insurance Comp of Pittsburgh,PA 19445 <br /> INSURED PeabodyEnergy Corporation Uv kJ o INSURER B:N/A N/A <br /> and Subsidiary Companies N1A►1�GI� INSURER C:Underwriters at Lloyd's of London 15792 <br /> Attn.Kala Collett SON OF RECLAMA, Al-3 INSURER D <br /> Gateway One Building pI,VIS TY- <br /> 701 Market Street,Suite 700 1004G&SAFE INSURER E: <br /> St Louis,MO 63101-1826 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CHI-009884719-03 REVISION NUMBER: 3 <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 SUER POLICY NUMBER MM/DD/YYYY POLICY EFF M <br /> LICY EXP <br /> LTR /D/YYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY X 7032448 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTED <br /> CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 2,000,000 <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 POLICY1:1 PRO ❑LOC PRODUCTS-COMP/OP AGG $ 2,000,000 <br /> JECT <br /> OTHER $ <br /> A AUTOMOBILE LIABILITY X 8682565 08/01/2022 08/01/2023 COMBINED SINGLE LIMIT $ 1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> r 1 $ <br /> X UMBRELLA LIAB X OCCUR B0509BOWCN2250874 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 <br /> DIED RETENTION$ $ <br /> WORKERS COMPENSATION IPER <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> TH <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ <br /> OFFICER/MEMBEREXCLUDED7 N/A <br /> (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E L 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/properties include Mesa Gravel Pit-Peabody Sage Creek Mining,LLC(M-82-036),Red Rock Gravel Pit-Peabody Williams Fork Mining,LLC(M-78-315),Seneca IIW and Yoast Mines—Seneca <br /> Property,LLC(C-92-057&C-94-082),Hayden Gulch Loadout-Hayden Gulch Terminal,LLC(C-92-081),Williams Fork Mines-Moffat County Mining,LLC(C-81-044);Foidel Creek Mine-Twentymile Coal,LLC(C- <br /> 82-056),Sage Creek Mine—Peabody Sage Creek Mining,LLC(C-09-087) <br /> Colorado Department of Natural Resources,Colorado Division of Reclamation,Mining&Safety and the State Board of Land Commissioners are included as Additional Insured where required by written contract No <br /> explosion,collapse or underground damage exclusion is included on the general liability policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Colorado Division of Reclamation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Mining and Safety, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> State Board of Land Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 1313 Sherman Street,Room 215 <br /> Denver,CO 80203 <br /> AUTHORIZED REPRESENTATIVE <br /> iYz!�l 2lS�f �l�se. <br /> ©1988-2016 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />