2022-08-15_GENERAL DOCUMENTS - M1978315

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ATE , 11. oRoI CERTIFICATE OF LIABILITY INSURANCE FD08/082023DrvrrY) 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 Marsh I U S Operations MARSH USA LLCNAME — - — - � - - 540 W MADISON A/c N NE Ext: 866 966 4664 (A/�No). 212-948 0811 CHICAGO,IL 60661 ADDRESS: StLouis CertRequest@Marsh Com INSURER(S)AFFORDING COVERAGE NAIC p 90 INSURER A:National Union Fire Insurance Comp of Pittsburgh,PA 19445 INSURED INSURER B:N/A N/A Peabody Energy Corporation Peabody Sage Creek Mining,LLC INSURER C:Underwriters at Lloyd's of London 15792 Attn Kala Collett Gateway One Building INSURER D 701 Market Street,Suite 700 INSURER E: _ St Louis,MO 63101-1826 INSURER F COVERAGES CERTIFICATE NUMBER: CHI-009884749-05 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MWDD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGES( RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY n PRO- JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER $ A AUTOMOBILE LIABILITY X 8682565 08/01/2023 08/01/2024 COMBINED SINGLE LIMIT $ 1,000,000 Ea accidentZ- X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident F-- $ X UMBRELLA LIAB X OCCUR B0509BOWCN2351801 08/01/2023 08/01/2024 EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ $ PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER WORKERS COMPENSATION Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L 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 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD