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2011-01-12_GENERAL DOCUMENTS - C1982057
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2011-01-12_GENERAL DOCUMENTS - C1982057
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Last modified
8/24/2016 4:28:50 PM
Creation date
1/12/2011 3:07:20 PM
Metadata
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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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CERTIFICATE OF LIABILITY INSURANCE <br />page 1 of 1 10/28/2010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 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 INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(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 />PRODUCER CONTACT <br />Willis of T - - -- °- <br />ennessee, Inc. --- ---- <br />PHONE <br />? <br />26 Century Blvd. (atcJto.F )___87__1-9 ?9 <br />? 888-467-2378 <br />P. O. Box 305191 <br />Nashville <br />TN 37230-5291 E-MAIL <br />?DORFSC• <br />, W SURER(W FOROJNG COVERAGE NAIC $ <br />------ -- <br />SURED INSURERA: ACE American Insurance Company <br />_.._ <br />22667-001 <br />Peabody Energy Corporation and Subsidiaries INSURER B: <br />Attnr Ryan Brown <br />701 Market St <br />t INSURERC: <br />------. - <br />_ <br />. <br />ree <br />Suite 700 _...._--- <br />----- <br />_. <br />INSURERO: .---_-.._? <br />St. Louis, MO 63102-1826 INSURERE: <br /> INSURER F: <br />COVERAGES CERTIFICATE NUMBER' 14953862 <br />REVISION NUMBER: <br /> mto Is Ju UtKIII-T I HAI IHE 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 <br />T <br /> WI <br />H RESPECT 10 WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL <br /> THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OFINSURANCE ?---- 5UB --- <br />Wvn <br />POLICY NUMBER POLtCYEFF POLlCYEXP _.__.__ <br /> <br />U6t1TS <br /> A GE NERAL LIABILITY N N HDO02552536A 11/l/2010 11/1/2011 fOC <br />UR <br />RENCE <br />C <br />CI <br />FAA $ 5, 0 Q_0'_0Q-0 <br />- <br /> X COMMERCIAL GENERAL LIABILITY A <br />? <br />77 <br />po <br />R? <br />P <br />A <br />_ZeI <br />e <br />IE <br /> <br />® R <br />ELpS <br />r <br />o <br />nce) $ 100.000 <br /> CLAIMS-MADE <br />OCCUR MEO EXP M one persown S .000 <br />- - - _ <br /> ------- PERSONAL& ADV INJURY S fp <br /> - -- <br /> <br />' GENERAL AGGREGATE 6._000 00 <br />GEN <br />LAGGREGATE LIMIT APPLIES PER: <br />PRO PRODUCTS- COMP(OPAGG <br />- S OO,Q <br />POLICY <br />LOC <br /> <br />A AUTOMOSILELIABILITY <br />N <br />N ISAH08631992 <br />11/1/2410 <br />11/1/2011 <br />OMs'.x..}'EDSINGLE LIr+1T S <br />X eS?WOng $ 5,000,000 <br />-- ANYAUTO <br />NEO <br />ALL S <br />ULED BODILYINJURY(Perperson) ; <br /> UTOS <br />AVTOS - <br /> NON-OWNED <br />' BODILY INJURY(Poratic7denl) $ <br /> H <br />HIREOAUI <br />OS <br />AUTOS AGE----. _ <br /> Petacddent S <br /> <br /> UMBRELLALIAe OCCUR <br />- EACH000URRENCE ; <br /> EXCESS LIMB CLAIMS_MADE _ <br />W <br />AGGR <br />G <br /> E <br />ATE $ <br />DED RETENTION S ----" - <br />WORKERS COMPENSATION <br />S <br />AkDEMPLOYERS'LIABILITY <br />1N IfTRY_LI1SJIi <br /> <br />ANYPROPRIETOWPARTNERIEXECUTIVF <br />j __ <br /> <br /> <br />O <br />FACERlG1 I <br />EMeERE%CLUOEO? <br />J N/A <br />E.L. EACHACCIDENi <br />- <br />R <br />,I <br />Iyeosd0esai?eunEer E.L.OISEASE-JJIEMPLOYEE $ <br /> <br />DE SCRIPTIONOFOPERATIONSbefow _ <br /> E.L,DISEASE-POUCYLIMIT $ <br /> <br />DESCRIPTJONOFOPERATIONS !LOCATIONS IVEHICLE S(Atta chAeordt 1t,AdditonalR*marks Schedule. ifmoreeasesF.r.. ,?tr.di <br />..cw- -aureat seneea Uoal CO., a Subsidiary <br />Covers operations at Seneca II-W Nine including damage from surface coal mine operations, the use <br />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 />Colorado Department of Natural Resources ACCORDANCE WITH THE POLICY PROVISIONS. <br />Division of Reclamation, Mining and Safety AUTHORIZED REPRESENTATWE <br />Room 215 <br />1313 Sherman Street lyw) <br />Denver, CO 80203-2273 7 <br />Coll:3169066 T_01:1174341 Cert:1 9 3 62 ®1988-2010ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marls of ACORD
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