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2007-11-25_REVISION - C1982056
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2007-11-25_REVISION - C1982056
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Last modified
8/24/2016 3:18:44 PM
Creation date
8/5/2008 10:16:18 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
REVISION
Doc Date
11/25/2007
Doc Name
E-mail Regarding Renewal Application
From
Jerry Nettleton
To
DRMS
Type & Sequence
RN5
Email Name
DIH
Media Type
D
Archive
No
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE 9/ <br />,. <br />page 1 of 2 10/ <br />2007 <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. Hoot 305191 <br />Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Peabody Energy Corporation INSURERA:National Union Fire Insurance C Illy 19445-011 <br />Attna Walter Hawkins <br />k INSURERS: Lexington Insurance COUV=y 19437-004 <br />701 Mar <br />et Street <br />Suite 700 INSURERC: <br />8t. Louis, MD 63101-1826 <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 /> D' TYPE OF INSURANCE POLICY NUMBER V VE UCYEXPIRA ON LIMITS <br />A X GENERALUABILJTY 4807243 11/1/2007 11/1/2008 EACHOCCURRENCE S <br /> COMMERCIAL GENERAL LIABILITY <br /> <br />1 TO E14TED <br />P <br />F EM Cal <br /> <br />$ O <br /> <br /> CLAIMS MADE QOOCUR MEDEXP(Anyone parson) $ 5 <br /> PERSONAL &ADV INJURY $ 1,000,000 <br /> GENERAL AGGREGATE $ 4.000.000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG S 4,600,000 <br /> POLICY i LAC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br />>i <br /> ANY AUTO (Ea accident) <br /> ALLOWNED AUTOS BODILY INJURY <br />S <br /> SCHEDULED AUTOS (Perperson) <br /> HIRED AUTOS BODILY INJURY <br />: <br /> NON OWNEDAUTOS (Per accident) <br /> PROPERTY DAMAGE <br /> P <br />l $ <br /> ( <br />tlent) <br />eracc <br /> GA RAGE LIABILITY AUTO ONLY •EAACCIDENT $ <br /> ANYALITO OTHERTHAN EAACC S <br /> AUTOONLY: AGO S <br />13 EXCESSIUMBRELLALIABWTY 3023012 11/1/2007 11/1/2008 EACH OCCURRENCE $ 2,000.00 <br /> <br /> 10 OCCUR FICLAIMS MADE AGGREGATE $ 2,600,000 <br /> S <br /> DEDUCTIBLE S <br /> RETENTION S S <br /> WORKERS COMPENSATION AND <br />' <br />1 10& <br />TORYY UA 3 <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETORIPARTNER/EXECUTIVE E.LEACH ACCIDENT $ <br /> OFFICER/MEMBEREXCLUDED? <br />E.L. DISEASE-EA EMPLOYEE <br />$ <br /> 11 yes, <br />SPECIAL describe antler PROVISIONS below E.L. DISEASE • POLICY UMIT S <br /> OTHER <br />DESCRIPTION OF OPERATONSILOCATK)NS/VENICLESM XCLUSIONS ADDED BY ENDORSEN19FISPECIAL PROVISIONS <br />Named insured: TWentymile Coal Company, as regards, Lease OT-80053 and RFC-70238. <br />it is agreed that Colorado State Hoard of Land Commissioners is included as Additional insured as <br />respects to General Liability, but solely in regards to work being performed by or on behalf. of the <br />Named insured in connection with the project described herein where required under written ontract <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />IMPOSE N ATION OR LIABILITY Of ANY 10 UPON THE INSURER, ITS' AGENTS OR <br />Colorado State Board of Land CO?issioners REP ENTATIV <br />1313 Sherman Street, Room 621 <br />Deaver, CO 80203 :!:= , <br />ACORD 25 (2001/08) Coll:2157932 T91:698942 Cert• 723936 0 ACORD CORPORATION 1988
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