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2011-01-12_GENERAL DOCUMENTS - C1982057
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2011-01-12_GENERAL DOCUMENTS - C1982057
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Entry Properties
Last modified
8/24/2016 4:28:50 PM
Creation date
1/12/2011 3:07:20 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
1/12/2011
Doc Name
Insurance Document
From
Peabody
To
DRMS
Permit Index Doc Type
Insurance
Email Name
SLB
SB1
Media Type
D
Archive
No
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a? "® CERTIFICATE OF LIABILITY INSURANCE,- 1DATE (MDNYY <br />A/'30/'3A1in <br />THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE 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 INSURERS), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies)must be endorsed. It 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 conferrights to the <br />Certificate holder In lieu of such endorsement(s), <br />PRODUCER CONTACT <br /> <br />Willis of Tennessee, Inc. <br />26 Century Blvd. <br />Dr1o.Exly_ 8T7-923??d unp 888-467-2Za?_ <br />P. O. Box 305191 MAIL <br />DRESS' certificates@willis?com <br />Nashville, TH 37230-5191 _-.__.___.--,__ <br /> INSURER 5 FOROINGCOVERAGE NAIC# <br />----------------- ___-.___-_.,.. INSURERA: ACB American Insurance Company 22667-001 <br />,___ <br />INSURED - ----- ---- <br />Peabody Energy Corporation and Subsidiaries INSURERS: <br />Attnr Ryan Brown INSURER C: <br />------- <br />701 Market Street <br />Suite 700 INSVRERO: <br />St. Louis, VO 63101-1826 INSURER E,. <br /> INSURER F" <br />THIS IS TO CERTIFY TI4AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING 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 IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />?- --- <br />INSR <br />lik - <br />TYPE OF INSURANCE TOD' SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br />A GE NERAL LIABILITY N N HDO02552536A 111/1/2010 11/1/2011 FACHOCC <br />URRENCE $ 5.000.000 <br /> X._. COMMERCIAL GENERAL LU18tUTY Tp <br /> <br />pAMAGE WE0 <br />PRE ae <br />MISE renCal <br />_ S_ <br />S 100,000 <br /> ICWMS-L1AOE)(J000UR <br /> btEDEXP{Anyoneperoni_ S_ 5 000 <br /> PERSONAL SADVINJURY i <br />5 <br />19 <br />0 <br />0 00 <br /> _ , <br />-- <br />1 <br />- <br /> GENERALAGGREGATE fi <br />S <br />000 <br />000 <br /> _ ___ <br />_- <br />1 <br />_ <br /> GEN'L AGGREGATE LIMITAPPLIEES PER: PRODUCTS -COMPIOP AGO $ 61000.000 <br /> POLICY PRO f LOC $ <br />A AUTOMOBILE LIABILITY N N ISAM08631992 11/1/2010 11/1/2011 Eoae?I IF.)iNGLEU111T $ 51000,000 <br /> X ANY AU TO __ _ <br />- BODILY INJURY(Petperson) 1$ ^?---- <br />?- <br />" <br /> <br />_ AI.LOWNED <br />AUTOS SCHEDULED <br />AUTOS <br />BODILY INJURY(Parecddenti - <br />-- - <br />Is <br /> HIREDAUTOS NON-OWNED {TROP n, AR "'--I <br />G "- - <br /> AUTOS (Para derd <br />-- -- S <br /> i s <br /> UMBRELLALIAB OCCUR EACkOCCURRENCE S <br /> - ---" -- <br />J _? <br />u-`•-_ <br /> EXCESS LMD CLAIMS-MADE AGGREGATE $ <br /> OED RETENTION$ _ <br />_ <br />$ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS'LIABIL1TY - RWL1 <br /> YIN <br />ANY PROPRIETORIPARTNEPJEXECUTIVEF- NIA E.L.EACHACCIDENT S <br /> OFFtCEIRMIEMBEREXCLUDED? J _ <br />-'- - - -- - - --- <br /> #AtandatoryInNH? <br />yes des <br />bet ei 1 E.L. DISEASE -EAE&VLOYEE S <br /> ' <br />OtSG?FUPTtONOFOPERATIONSbe'ovd I E.L.OISFASE-POLICYLIMIT S <br /> t <br />f <br />OESC RIP71ON OF OPERATIONS I LOCATIONS /VEHICLES (Attach Acerd 101, Additonal Remarks Sci:adult, Ifmcre space is required) <br />Named Insured: Seneca Coal Co„ a Subsidiary <br />Covers operations at Seneca II Mine and Seneca II-W Mine including damage from surface coal mine <br />operations, the use of explosives and damage to water wells. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Colorado Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 ?) (/ f <br />Coll:3169066 T01:1174341 Certei443485 n19RR-2010ACnanr:nRanReTlnnl <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
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