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2007-11-26_REVISION - C1992081
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2007-11-26_REVISION - C1992081
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Entry Properties
Last modified
8/24/2016 3:18:47 PM
Creation date
3/19/2009 10:48:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
REVISION
Doc Date
11/26/2007
Doc Name
Letter & Application
From
Hydro-Environmental Solutions, Inc
To
DRMS
Type & Sequence
RN3
Media Type
D
Archive
No
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i <br />ACORD <br />CERTIFICAT E OF LIABILITY IN <br />TM <br />SURANCE page 1 of 2 10/29/2007 <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. Box 305191 <br />Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC# <br />INSURED Peabody Energy Corporation INSURERA:National Union Fire Insurance Company 19445-011 <br />Attn: Walter Hawkins <br />701 Market Street INSURER B: <br />Suite 700 INSURERC: <br />St. Louis, MO 63101-1826 <br /> INSURER D: <br /> INSURER E: <br />(:UVtKAGtS <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 <br />LTR NSR DD' <br />TYPEOFINSURANCE <br />POLICYNUMBER POLICY EFFECTIVE <br />DATE MMIDDIYY POLICY EXPIRATION <br />DATE MM/DDIYY <br />LIMITS <br />A GENERAL LIABILITY 4807243 11/1/2007 11/1/2008 EACH OCCURRENCE $ 2,000,000 <br /> X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Eaocoure"ce <br />$ 50,000 <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5 0 0 0 <br /> PERSONAL & ADV INJURY $ 1 <br />000 <br />000 <br /> 1 <br />, <br /> GENERAL AGGREGATE $ ¢ 000 000 <br /> <br /> GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 4,000,000 <br /> POLICY PRO- <br />JECT LOC <br />A AU TOMOBILE LIABILITY 4806729 ll/1/2007 ll/1/2008 <br /> COMBINED SINGLE LIMIT <br />000 <br />000 <br />$ 2 <br /> X ANY AUTO (Ea accident) , <br />, <br /> ALLOWNEDAUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NON-OWNEDAUTOS (Peraccident) <br /> PROPERTYDAMAGE <br /> $ <br /> (Per accident) <br /> GARAGELIABILITY AUTO ONLY-EA ACCIDENT $ <br /> ANYAUTO OTHERTHAN EAACC $ <br /> AUTOONLY: AGG $ <br /> EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR F1 CLAIMS MADE AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND <br />' WC STATU- OTH- <br />TORY LIMITS ER <br /> EMPLOYERS <br />LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ <br /> OTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />Named Insured: Hayden Gulch Terminal, Inc. <br />Covers operations at Hayden Gulch Loadour Facility including damage from surface coal, etc., <br />Permit <br />C-92-081. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL IiIF} ZZ=Xa MAIL 30 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFi}=XAM1151fY4U00WI0X&L <br />Colorado Department of Natural Resources MX75X7AXg¢if('QSXZ3fiX)X Ilik-NINNIIMMMI a;]Fr7[Xgff"MK <br />Division of Reclamation, Mining and Safety X <br />Room 215 <br />1313 Sherman Street AU HORIZE PR BE TATIVE <br />Denver, CO 80203-2273 <br />ACORD 25 (2001/08) Coll:2157932 Tp1:698972 Cert 723532 ©ACORDCORPORATION 1988
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