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2009-11-19_GENERAL DOCUMENTS - C1982056
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2009-11-19_GENERAL DOCUMENTS - C1982056
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Last modified
8/24/2016 3:57:06 PM
Creation date
11/20/2009 11:13:29 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982056
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/19/2009
Doc Name
Email Regarding Insurance Certificate
From
Jerry Nettleton
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JHB
Media Type
D
Archive
No
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A A <br />CERTIFICATE OF LIABILITY INSURANCE P <br />1;18/2 p <br />I Page 1 of 3 <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 of Tennessee, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />,26 century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />IP. O. Box 305191 <br />Nashville, TN 37230-5191 <br />I INSURERS AFFORDING COVERAGE NAIC# <br />INSURED ilPeabody Energy Corporation and Subsidiaries INSURERA:National Union Fire Insurance Company 19445-011 <br />Attn: Ryan Brown <br />701 Market street INSURER B: <br />1 <br />Suite 700 INSURER C: <br />ISt. Louis, MO 63101-1826 <br /> INSURER D: <br /> INSURER E: <br />COVFROGFS <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 />LT DD' <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE <br />DATE M DD POLICY EXPIRATION <br />DATE MM DD <br />LIMITS <br />A X GE NERAL LIABILITY GL4807243 11/1/2009 11/1/2010 EACH OCCURRENCE $ 2,000,000 <br /> ][ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED <br />PREMISES Ea occurence <br />$ 100,000 <br /> <br /> CLAIMS MADE ? OCCUR MED EXP (Any one person) $ 51000 <br /> <br /> PERSONAL &ADV INJURY $ 2,000,000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GE N'LAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ 2,000,000 <br /> POLICY PRO- <br />JECT LOC <br /> <br />A <br />AU I <br />TOMOBILE LIABILITY <br />CA4806729 <br />11/1/2009 <br />11/1/2010 <br />COMBINED SINGLE LIMIT <br /> ]{ ANY AUTO <br />(Ea accident) <br />$ 2,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> $ <br /> SCHEDULED AUTOS (Per person) <br /> HIRED AUTOS <br />BODILY INJURY <br /> $ <br /> NON-OWNED AUTOS (Per accident) <br /> I <br />PROPERTYDAMAGE <br /> $ <br /> (Per accident) <br /> i <br />GARAGE LIABILITY <br />AUTO ONLY-EA ACCIDENT <br />$ <br /> ANYAUTO OTHERTHAN EAACC $ <br /> AUTO ONLY: AGG $ <br /> EXOESS/UMBRELLA LIABILITY EACH OCCURRENCE $ <br /> <br /> OCCUR CLAIMS MADE AGGREGATE $ <br /> I $ <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION WCSTATU- OTH- <br /> AND EMPLOYERS' TORY LIMITS ER <br /> LIABILITY Y/ N <br />ANY PROP RIETOR/PARTNER/EXECUTIVE ? E.L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br /> (Mandatoy In NH) 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 / LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS <br />THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 10/30/2009 WITH ID: 13317893 <br />1 <br />Re: Foidll Creek Mine, C1982-056 <br />I <br />The insurer will notify the Division of substantial changes in policy, including or failure to <br />renew. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL I =XKMAIL 3 0 DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFt=XZ MYff?.401l2KL <br />>fbl[8?1?7i1i47Nga[?D61i161IB17I?Q17i?ff}FIE7E]t9'C1G1I3Gif&8147tNa[?ti?Q? .a;3QrB3[?61X.9C?C <br />Colorado Division of Reclamation, Mining and Safety <br />XX <br />313 Sherman Street, Room 215 AUTRORIZEREPRES ATIVE <br />Denver, CO 80203 <br />i I Z., A ?L. j4VI-4) <br />ACORD 25 (1009/01) Coll:2865130 TD1:1004416 Cert:l 3 6440 0 1988-2009ACORD CORPORATION. All riahts reserved <br />The ACORD name and logo are registered marks of ACORD
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