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GENERAL30964
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GENERAL30964
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Entry Properties
Last modified
8/24/2016 7:48:22 PM
Creation date
11/23/2007 6:51:00 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
General Documents
Doc Date
11/2/2007
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACO~D~, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 10/29/2007 <br />PRODUCER 877-94$-7376 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie North America, xno. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 D <br />```'' <br />Nashville, TH 372305191 c <br />{•~``V <br />G INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Peabody Energy Corporatio¢ ) ~oo INSURER A: National IIaion Pire Insurance Company 19945-011 <br />Att¢: Walter Hawkins <br />701 Market Street `I <br />~oY O y INSURER B: <br /> n <br />it <br />St <br />LOUi6, MO 63101-1826 ,v,S~On OY nd Sa 6ty INSURER D: <br /> ~ <br />`n9a <br /> M~~ INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANV REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR OD' <br />R rypE OFINSURANCE POLICY NUMBER POLICY EFFELDVE POLICY EXPIRADON LIMRS <br />A GENERAL LIABILITY 4807243 ,~~" 11~1~2QQ7 11~1~2QQ$ EACH OCCURRENCE $ 2 QQQ QQQ <br /> <br />_ <br />$ <br />COMMERCIAL GENERAL LIABILITY ~ <br />__ ___ _ ~_~ <br />_ <br />_ _, OAMAGETO RENTED <br />PREMISES Ea occurenra. <br />$ - __$Q _QIlQ_ <br /> <br /> CLAIMS MADE OCCUR MED E%P (Anyone person) $ $ QQQ <br /> • k' <br />' PERSONAL &ADV INJURY $ 1 QQQ QQQ <br /> tt <br />F. <br /> i <br />4 GENERAL AGGREGATE $ 4 QQQ QQQ <br /> ~ <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 QQQ QQQ <br /> FRO <br /> T LOC <br />POLICY <br />A AUT OMOBILE LIABILITY 4606729 11~1~2QQ7 11~1~2QQ8 COMBINED SINGLE LIMIT <br /> <br />(Ea accident) $ 2 QQQ QQQ <br /> X ANY AUTO <br /> ALLOWNEDAUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Peraccitlem) <br /> PROPERTY DAMAGE <br /> <br />P <br />i $ <br /> ( <br />er acc <br />tlem) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHERTHAN EAACC $ <br /> AUTOONLV: AGG $ <br /> EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />' WC STATU~ OTH~ <br /> EMPLOYERS <br />LIABILIry _ _ __ __ _ _ _ _-__-._ <br /> ANV PROPRIETOR/PARTNEWEXECUTIVE EL EACH ACCIDENT $ <br /> OFFICERIMEMBER E%CLUDED? <br />E.L. DISEASE~EA EMPLOYEE <br />$ <br /> If yes, tlascribe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OFOPERATIONSA.OCATION$IVEHICLE$IE%LLU$ION$AODED BV ENDOR$EMENTSPEpAL PROVISIONS /~'~ ~~}.~ 7~ ~ <br />Named Insured: Seneca Coal Co., a Subsidiary /,: _~y ~/(1-/ I/~\ <br />~. <br />- <br />~~ <br />l <br />c <br />[ <br />j <br />V <br />( <br />7 <br />S <br />~ <br />Covers operations at Seneca II Mine including damage from sur <br />f <br />sc <br />e <br />O <br />J <br />d <br />1 <br />x- <br />_ <br />a <br />o <br />r~_ationa, the use of <br />explosives and damage to water wells. ' <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL 13d[~7676RXdC MAIL 3 Q DAYS WRITTEN <br />NOTICE TO THE CERTIFlCATE HOLDER NAMED TO THE LEF~CHDEX74ML'KYOCEHS4GXaR1LL <br />Colorado Division of Reclaalation, Mining & Safety L5X15XXOIBID[9FIfY}6}f9S W78757fW701{a~m 'a'.7QEXd[8GY4CD7dC <br />Division of Minerals sad Geology /~ <br />Room 215 <br />1313 Shexma¢ Street AU ORIZE PR E ATIVE <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Co11:2157932 Tp1:698972 Cert: 723534 ®ACORD CORPORATION 1986 <br />
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