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GENERAL51834
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GENERAL51834
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Entry Properties
Last modified
8/24/2016 8:37:56 PM
Creation date
11/23/2007 7:11:07 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980003
IBM Index Class Name
General Documents
Doc Date
10/30/2006
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE 2/ <br />,~ page 1 of 2 10/0 <br />2006 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willis xorth America, lac. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />26 century Blvd. , ^, P-1~ /C~ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 ^~ <br />,, <br />I ~ <br /> <br />Nashville, TN 3 72 3 05191 tt <br />Yea.-~°~'L'° <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br /> <br />INSURED Peabody Energy Corporation INSURER A: ACS American Insurance Company 22667-001 <br />701 Market Street <br />St <br />Louie <br />MO 63101-1826 <br />Of tZOClartla'1011 <br />INBURER e: <br />. <br />, pIVIB~On <br />d Safety . <br /> tulimng an INSURERC: <br /> <br /> INSURER D: <br /> 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 />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 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 DD' TYPE OFINSNRANCE POLICY NUMBER POp ICY EFFECTIVE POLICY M%PIRATON LIMITS <br />jl GENERAL LIABILITY HDOG23717773 10/1/2006 10/1/2007 EACH OCCURRENCE $ 2 OOO 000 <br /> <br />_ __ <br />._ X GOMMERCIN GENERAL UAB)LITV <br />6.__. ~~, <br />_. <br />_ ° -_~ <br />- - DAMAGE TO REN7E0 <br />-PRr+e18e exvcmm~ce-_ ' <br />-$--=--Sfl--000- <br /> CLAIMSMADE OCCUR MED EXP (Any one person) $ 5 000 <br /> PERSONAL &ADV INJURY $ 1 000 OOO <br /> GENERAL AGGREGATE $ 4 OOO OOO <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> POLICY PRP LOC <br />p AUT OMOBILE LIABILITY ISAH08226103 10/1/2006 10/1/2007 COMBINED SINGLE LIMIT <br /> <br />(Eaaxitlenq $ 2,000,000 <br /> X ANYAUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON-OWNEDAUTOS (Per eccitlenl) <br /> PROPERTY DAMAGE <br /> <br />P <br />id $ <br /> ( <br />Br aCC <br />enQ <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHERTHAN EAACC $ <br /> AUTOONLY: AGG $ <br /> EXCE$$LIABILITY EACH OCCURRENCE $ <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br />R <br /> LIABILITY <br />EMPLOYERS - --" <br />~ `- -- <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE - - ~-- -- " E:CEgCMALD76ENT 5 <br /> OFFICERIMEMBEREXCLUDED? <br />E. L. DISEASE-EA EMPLOYEE <br />$ <br /> It yes, tlescribe untler <br /> BPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSrLOLATIONSIVEHICLES/EXCLUSIONS ADDED BY ENOORSEMENTSPECIAL PROVISIONS <br />Covers operations at Hayden Gulch Mine including damage from surface coal mine operations, the use <br />of explosive and damages 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 ~IQiGMIfdC MAIL 3 D DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LE L <br />ffi7(d61:S18D5YCIQWf~S![XIl[XOIBNi I#36HSSNmONHIffiIC~(li7CX~60C4CdNC <br />Colorado Division of Reclamation, Mining 6 Safety $ /~ <br />Division of Minerals and Geology <br />ROOID 215 AU ORIZE PR E ATIVE <br />Deaver, CO 80203-2273 <br />ACORD25 (2001/08) Co11:1760861 Tp1:547796 Cert: 835662 ®ACORD CORPORATION 7988 <br />
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