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2022-08-15_GENERAL DOCUMENTS - C1982057
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2022-08-15_GENERAL DOCUMENTS - C1982057
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Last modified
8/15/2023 8:33:00 PM
Creation date
8/15/2023 12:54:25 PM
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Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
8/15/2022
Doc Name
Certificate of Insurance
From
Marsh/Seneca Property LLC
To
DRMS
Email Name
RAR
JLE
Media Type
D
Archive
No
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A ® DATE /YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE OB/08/2023/2023 <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 I U S Operations <br /> MARSH USA LLC <br /> 540 W MADISON A/CNNo Ext _866 966 4664 �(A/C No): 212.948 0811 <br /> CHICAGO,IL 60661 AD-ADDRESS: StLouis CertRequestC)Marsh Com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> _ 81 INSURER A:National Union Fire Insurance Comp of Pittsburgh_,PA 19445 <br /> INSURED PeabodyEnergy Corporation INSURER B:N/A N/A <br /> Seneca Coal Company,LLC INSURER C:Underwriters at Lloyd's of f London 15792 <br /> Attn Kala Collett INSURER D: <br /> Gateway One Building — -- -" - --- <br /> 701 Market Street,Suite 700 INSURER E: <br /> St Louis,MO 63101-1826 INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: CHI-009884717-05 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 /> INSRPOLICY EFF POLICY EXP <br /> LTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MM/DD/YYYY MM/DDNYYY LIMITS <br /> A X COMMERCIAL GENERAL LIABILITY 7032448 08/01/2023 08/01/2024 EACH OCCURRENCE $ 1,000,000 <br /> DAMAGE TO RENTE <br /> CLAIMS-MADE I X I OCCUR PREMISES(Ea occur ence) $ 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 /> PROX POLICY[]JEC ❑ LOC 2,000,000 <br /> JECT PRODUCTS $ <br /> OTHER $ <br /> A AUTOMOBILE LIABILITY 8682565 08/01/2023 08/01/2024 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 /> X UMBRELLA LIAB X OCCUR B0509BOWCN2351801 08/01/2023 08/01/2024 EACH OCCURRENCE $ 1,000,000 <br /> EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 <br /> DED RETENTION$ $ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ EL EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED N/A - "— --"- <br /> (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ <br /> if yes,describe under <br /> DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ <br /> r <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 /> _; ea 2Ar-15- 0 SIC? <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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