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2010-12-10_GENERAL DOCUMENTS - C1982057
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2010-12-10_GENERAL DOCUMENTS - C1982057
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Last modified
8/24/2016 4:27:48 PM
Creation date
12/10/2010 2:37:37 PM
Metadata
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Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/10/2010
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
SB1
SLB
Media Type
D
Archive
No
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%7C 6D <br />0EC 1 0 2010 <br />CORL7? Grvidit$II (A iCtItyltl. <br />'?..? CERTIFICATE OF LIABILITY INSURANC :V"f *1 1 _10/28/W 20 0 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: lithe cerdlicate holder is an ADDITIONAL INSURED, the polloy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />Uillis of Tennessee. xno. <br />26 Century Blvd. <br />P. 0. Box 105191 <br />Nashville. TH 37230-3191 <br />Peabody Energy Corporation and Subsidiaries <br />Attnr Ryan brown <br />701 Market street <br />Suite 700 <br />St. Louis, NO 63101-1826 <br />ACS American Insurance Company 122667-001 <br />THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTMRTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN E SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS ftW1%WN ua V aeue neeu <br /> <br />INSR <br />TYPSOFWWRANCE ___ <br />PAW1 <br />su __...-?..?............. ?..r. <br /> <br />POUCYNUMBER .r...rvvva.a,ur <br />POLICYEFF rwv yLw,11N. <br />POUCYEIP <br /> <br />LIL"s <br />A GEN EWILLIALULRY N N HD002SS2536A 1/2/2010 11/1/2011 EACHOCCURaENCE s <br />5.000.000 <br /> C <br />ORIAIERCKaENERALLuwuTY O 1 <br />s <br />100,000 <br /> CLAWS-MADE® OCCUR LIlOE%P eta 1 5,090 <br /> <br /> PERSONAL &ADVINAIRY 5,000,000 <br /> GL]IERM.AGGREGATE 0 <br /> GEWLAGNEOATELWRAPPI.IESPER- <br /> <br />P <br />R6 PROOUCT8-OOC1PlOPAGO <br />00 0 <br /> <br /> <br />A P <br />Ot.ICY <br />LOC <br />rFrT <br />AUTONOeeeLIAeILnv <br />x <br />N <br /> <br />N <br /> <br />N <br /> <br />ZOAH08631992 <br /> <br />1/1/2010 <br /> <br />11/1/2011 <br /> <br />a EDSINGLEUMIT <br /> <br />5,000,000 <br /> A <br />YAUro <br />YVPlEO E O e00RYINJURY(Perpwmn) <br /> AUTO$ H <br />I a <br />O BODILY eIxxtYO'aatodo nq <br /> REDAUr08 <br />AUTOS s <br /> s <br /> UMBRELLAUAe OCCUR EMKOCCURRENCE <br /> ONESS LIAS cuums-MADE AGG <br />G <br /> RE <br />ATE i <br /> OED RETENYMS <br />WORNENB COMPENSATION <br />ANDE&IPLOVERS 16manury ylq <br /> <br />I S <br /> ANY PROPiGETOWPARTNEW-%ECUTIVE( <br />O <br />F <br />R <br />1 <br />d <br />E <br />LiWRE=LUOEO7 LLJJ <br />C5W NIA F-LEACHACCIDENT S <br /> R <br />O <br />, <br />, <br />, <br />? <br />I <br />? <br />Eyy?e?dEitGS?eunOr E1.OISEASE-EAEAIPLOYEE i <br /> DEeCRPTgNOFOPEWtTNklSteyw E.L.DISMASE-POUCYI.NaT S <br />DQaC RIPTIONOPOPl1iATfONSILOCATIONSlVEHICLE 9(Aty Ao oM101, iRapa SeMduN .MnerramnAr? e <br />insursoa: Seneca coal Co., a Subsidiary <br />era operations at Seneca II-N ]Hine including damage from surface ooal mine operations, the use <br />explosives and damage to Water wells. <br />SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN <br />Colorado Department of Natural Resources ACCORDANCE WITH THE POLICY PROVISIONS. <br />Division of Reclamation, mining and Safety AUTHORILlOIIEPRESENTATNB <br />1313 She <br />Room 21S <br />1313 Sherman Street ?-• <br />Denver, CO $0203-2273 , <br />Co110169066 T91:1174341 Certri 62 ®1988-2010ACORD CORPORATION. Allrights reserved. <br />ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD
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