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GENERAL52900
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Last modified
8/24/2016 8:38:37 PM
Creation date
11/23/2007 8:08:08 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
General Documents
Doc Date
10/10/2006
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD~, CERTIFICATE OF LIABILITY INSURANCE page 1 of 2 10/02/2006 <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 north America, inc. 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 <br />Nashville, TN 372305191 ~~ INSURERS AFFORDING COVERAGE NAIC# <br />IN$UREO peabody Energy Corporation INSURERA: ACB Americas IneulasCe Company 22667-001 <br />Stl L <br />i <br />C MO e63101 <br />1826 pOT 1 0 2006 INSURER B: <br />ou <br />a <br />- <br /> INSURER C: <br /> n of <br />i <br />n' <br />t <br /> o <br />Divis <br />a a Safe <br />y INSURER D: <br /> Mining <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 />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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DD' <br />N TYpE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE <br />DAT POLICY E%PIRADON <br />M LIMBS <br />A GENERAL LIABILITY HDOG23717773 10/1/2006 10/1/2007 EACH OCCURRENCE $ 2 000 000 <br /> <br />-.~ <br />X <br />C_OMMERCIALGENERAL LIABILI- <br />____ __._ _-_ <br />__ <br />_-_. DAMAGETO RENTED <br />PREMISES Ea occurence - <br />-$ ^^-SO~-OQO-- <br /> <br /> CLAIMSMADE ~ OCCUR MED EXP (Any one Person) $ 5 000 <br /> PERSONALS ADV INJURY $ 1 OOO OOO <br /> GENERAL AGGREGATE $ 4 OOO OOO <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4 OOO OOO <br /> POLICY PFOT LOC <br />A AUT OMOBILE LIABILITY ISAH08228103 10/1/2006 10/1/2007 <br />COMBINED SINGLE LIMIT <br /> <br />(Ea accitlent) $ 2,000,000 <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-0 WNED AUTOS (Per accitlent) <br /> PROPERTY DAMAGE <br /> $ <br /> (Per accitlent) <br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANV AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> E%CESS LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKER$COMPEN$ATION ANO <br />' WC STATU- OTH- <br /> EMPLOYERS <br />LIABILLTY <br /> <br />ANY PROPRIETOR/PARTNEFiIEXECUTIVE <br />- _ <br />EL EACH ACCIDENT __ <br />$ <br /> OFFICEPIMEMBER EXCLUDED? <br />E. L. DISEASE-EA EMPLOYEE <br />$ <br /> Ii yes, tlescri~e antler <br /> SPECIAL PROVISIONS bebw E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OFOPERATIONSA-OCATIONSNEHICLESIE%CLUSIONS AODEO BY ENDORSEMENT/SPECIAL PROVISIONS <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Seneca II Mine including damage from surface coal mine operations, 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 THEE%PIRATON <br />DATE THEREOF, THE ISSUING INSURER WILL XdN:16ffi1fXdL MAIL 3O DAYS WRITTEN <br />NOTLE TO THE LERTFlLATE HOLDER NAMED TO THE LE L <br />Colorado Division of Reclamation, Mining a Safety iM~Xl~7pYal~ritffiI[35P[X17IBP1~[-fr7~767€ NXX6136dC9C-faC <br />Division of Minerals and Geology /~ <br />Room 215 <br />1313 Sherman Street AU DRIZE PR ATIVE <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Co 11:1760861 Tp1:547796 Cert• 835664 ®ACORD CORPORATION 1988 <br />
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