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GENERAL54805
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Last modified
8/24/2016 8:39:58 PM
Creation date
11/23/2007 9:50:00 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
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 <br /> <br />willia North America, Inc. <br />26 Century Blvd. 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Box 305191 <br />Nashville, TN 372305191 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURED Peabody Rnergy Corpozation URERA: ACB American Inauraace Company 22667-001 <br />701 Market Street <br />St <br />L <br />MO 63101 <br />1826 <br />i INSURER B: <br />. <br />- <br />ou <br />e, OCT 1 0 2006 <br />INGURER C: <br /> Division of Reclamatio NSURER D: <br /> Minin and Safe 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 MAV HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSA OD' <br />N TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE <br />AT M D POLICY EXPIRATION <br />M LIMBS <br />A GENERAL LIABILITY HDOG23717773 10/1/2006 10/1/2007 EACH OCCURRENCE $ 2 000 000 <br /> <br />X <br />COMMERCIAL GENERAL LIABILITY <br /> <br />^ DAMAGETO RENTED <br />PR I S E - <br />$ _ _SO OOO-- <br /> - _ <br />CLAIMSMAOE OCCUR _ __ <br />'4 ___ <br />_ _ _ MED EXP (Any one person) $ $ OOO <br /> PERSONALS AOVINJURY $ 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 PROT LOC <br />A AUT OMOBILE LIABILITY ISAH08228103 10/1/2006 10/1/2007 COMBINED SINGLE LIMIT <br /> <br />(Ea accitlen0 $ 2, 000, OOD <br /> X ANV AUTO <br /> ALL OWNED AUTOS <br />BODILY INJURY <br />$ <br /> SCHEDULED AUTOS IPer Person) <br /> HIRED AUTOS <br />BODILY INJURY <br />$ <br /> NON~OWNED AUTOS (Per accitlen0 <br /> PROPERTY DAMAGE <br /> $ <br /> IPeraxitlenQ <br /> GARAGE LIABILITY AUTOONLY-EAACCIDENT $ <br /> ANY AUTO OTHERTHAN EA ACC $ <br /> AUTOONLY: AGG $ <br /> E%CES$LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR ~ CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPEN$ATON ANO WC STATU~ OTH- <br /> ' T RV I I R <br /> LIABILITY _ <br />EMPLOYERS _ _ _ _ _ __ _ _ _ _ _ _ _ - _ _ _ <br /> ANV PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br />E. L. pISEASE-EA EMPLOYEE <br />$ <br /> If yes, tlescribe antler <br /> SPECIAL PROVISIONS below E.L. DISEASE-POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATONS/LOCATIONSNEHICLESrEXCLUSION$ AOOEO 9Y ENDORSEMENTSPECIAL PROVISIONS <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Seneca II-W Mine including damage from surface coal mine operations, the use <br />of explosives and damage to water wells. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE OE$CRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATON <br />DATE THEREOF, THE ISSUING lNSUREA WILL X]NU6l5YYM MAIL 3 O DAYS WRITTEN <br />NOTCE TO THE CERTFlCATE HOLDER NAMED TO THE LEF'dLffiFfY75MffiYYdCdtlC4ClBY1LL <br />Colorado Division of Reclamation, Mining & Safety 25YXiYiLY7FY876Y9C l03C0(9[iE~(XrYYa[660C4CdMC <br />Division of Minerals sad Geology <br />Room 215 <br />1313 ShermaII Stzeet AU ORIZE PR ATIVE <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Co11:1760861 Tp1:547796 Cert• 835660 ®ACORD CORPORATION 1988 <br />
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