GENERAL37132

• Permit No: C1982057
• IBM Index Class Name: General Documents
• Doc Date: 10/6/1995
• Doc Name: Certficate of Insurance
• From: PEABODY HOLDING CO INC
• To: DMG
• Permit Index Doc Type: INSURANCE
• Media Type: D
• Archive: No

~1C111:11
CERTIFICATE OF INS URANCE onre(Mwoom)
.
02-Oct-95
PPODUCEfl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
a ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
SEDGWICK JAMES OF NJ, INC. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
3 BECKER FARM ROAD COMPANIES AFFORDING COVERAGE
/~ AD
ROSELAND, NJ 07068 G-04B _
COMPANY
A
F
N. AMERICA
INDEMNITY INS.C~B
O
INSURED _
_
~
}
+
-~ -• COM
PANV -~- ~ ^~V[~^~~ ~-
B
J
C
Q'(
~
l
SENECA COAL COMPANY `
,
~s
n
~-- __ __ _
I COMPANY 19
1300 SOUTH YALE ~c _ Dly~ __
~
FLAGSTAFF, AZ 86001 copANV
cjMln~~d/sa
Ge
COVERAGES
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 ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BV THE POLICIES DESCRIBED HEREIN IS SUBJECT 70 ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BV PAID CLAIMS.
GO TYPE OF INSURANCE ~CY NUMBER
LTR I POLICY EFFECTIVEPOLICY EXPIRATION LIMf15
GATE(MEVDD/YY) DATE(MWDD/YY)
A ~ GEN ERAL LIABILTY F GENERAL AGGREGATE E_ _ N /A_
,X COMMERCIAL GENERAL LIABILITY CGO G1 423000-2 10/01/95 10/1/96 IPRODUCTS COMP/OP AGG jf 2,000,000
~
7 CLAIMS MADE 'xX OCCUR ' PERSONALBADV INJURY
E ~ , OOOT OOO
OWNER'S 8 CONT PROT ~ ' EACH OCCURRENCE TE ~ , OOO , OOO
X BROAD FORM VENDORS COVERAGE INCLU DED I (FIRE DAMAGE (Any one lire) E SOT OOO
MED E%P (Any one person) S S OOO
AUTOMOBILE LIABILRY i

X ANY AUTO I~ SCA HO 187821-9
A COMBINED SINGLE LIMIT E
,10/01/95 110/1/96
1,000,000
r __ _ i
I I
IX ALL OWNED AUTOS
I
I I
X~SCHEDULED AUTOS I BODILY INJURY f
I Per Person)
I
I
X HIRED AUTOS i
r~
BODILY INJURY E
~X {NON OWNED AUTOS I I IParaaltlenp

F i PROPERTY DAMAGE E
'GARAGE LIABILITY
- AUTO ONLY-EA ACCIDENT ~b
f -
ANY AUTO ~ ~ OTHER THAN AUTO ONLY:
- _ T
I EACH ACCIDENT S
AGGREGATE E
E%CESS LIABILffY it EACH OCCURRENCE E
- f -- --_ -
UMBRELLAFORM AGGREGATE 'E _
•
OTHER THAN UMBRELLA FORM E
'i WORKERS COMPENSATION AND ~ STATUTORY LIMITS
EMPLOYERS' LIABILITY i
I EACH ACCIDENT ( f
THE PROPRIETOR/ INCL DISEASE ~ POLICY LIMIT E
PARTNERSIE%ECUTIVE ~{ f - ~ -
OFFICERS ARE' E%CL DISEASE EACH EMPLOYEE S
OTHER
I
I
DESCRIPTION OF OPEPATIONS~LOCATIONSNEHICLE55PECIAL REMS COVERS OPERATIONS AT SENECA II-W MINE
INCLUDING DAMAGE FROM SURFACE COAL MINE OPERATIONS, THE USE OF EXPLOSIVES AND
DAMAGE TO WATER WELLS.
CERTIFICATE HOLDER CANCELLATION
COLORADO DEPT. OF NATURAL RESOURCES SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
DIV. OF MINERALS & GEOLOGY ATON DATE THEREOF, THE ISSUING COMPANY WILL ~}[}~ MAIL
E%
%
R
1 31 3 SHERMAN STREET , ROOM 21 5 ~
/
I
yyL DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDEfl NAMED TO THE LEFT,
DENVER, CO 80203-2273 x~~i>~~Y~yy~M~`xx~e[~~xsYsswx~sSs:,X~~~x~ax~L~mara~

i AUTHOflQED flEPRESENTATIVE / ~
~~JV,~-C~( ~~
ACORD 2SS (3/93) o ACORD CORPORATION 1993