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2011-10-28_GENERAL DOCUMENTS - C1994082
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2011-10-28_GENERAL DOCUMENTS - C1994082
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Last modified
8/24/2016 4:44:25 PM
Creation date
10/31/2011 9:19:39 AM
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Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
10/28/2011
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
SLB
SB1
Media Type
D
Archive
No
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THIS IS TO CERTIFY THAT 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADD'L <br />INSRC <br />SUBF <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MM/DD/YYYY) <br />POLICY EXP <br />(MM/DD/YYYY) <br />LIMITS <br />A <br />GENERAL <br />X <br />LIABILITY <br />COMMERCIAL GENERAL LIABILITY <br />INSURED <br />Peabody Energy Corporation and Subsidiaries <br />Attn: Robert Fenley <br />701 Market Street <br />Suite 700 <br />St. Louis, MO 63101 -1826 <br />INSURER B: <br />HDOG25532016 <br />11/1/2011 <br />11/1/2012 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />$ 100,000 <br />PREMSES(Eaoccurence) <br />CLAIMS -MADE <br />X <br />OCCUR <br />MEDEXP(Anyoneperson) <br />$ 5,000 <br />GEN'L <br />PERSONAL &ADV INJURY <br />$ 5,000,000 <br />GENERAL AGGREGATE <br />$ 6,000,000 <br />$ 6,000,000 <br />$ <br />AGGREGATE <br />POLICY <br />LIMIT APPLIES <br />PRO- <br />JECT <br />PER: <br />LOC <br />PRODUCTS - COMP/OP AGG <br />A <br />AUTOMOBILE <br />X <br />LIABILITY <br />ANY AUTO <br />ALL OWNED <br />AUTOS <br />HIRED AUTOS <br />SCHEDULED <br />AUTOS <br />NON -OWNED <br />AUTOS <br />ISAH08692312 <br />11/1/2011 <br />11/1/2012 <br />COMBINEDSINGLE <br />(Ea accident) <br />$ 5,000,000 <br />BODILY INJURY(Per person) <br />$ <br />BODILY INJURY(Per ) <br />$ <br />PAR PERTY <br />(Per accident) <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y /N <br />ANY PROPRIETOR /PARTNER/EXECUTIVEI <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />WC STATU- OTH- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />-E.L: DISEASE EMPLOYEE <br />MandatoryinNH) — <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Yoast Mine including damage form surface coal mine operations, the use of _ <br />explosives and damage to water wells. c n OCT 'L8 Lliii <br />A� °® CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 <br />ATE(MM/DD/YYYY) <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(ies)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 <br />Willis of Tennessee, Inc. <br />26 Century Blvd. <br />P. O. Box 305191 <br />Nashville, TN 37230 -5191 <br />CONTACT <br />NAME: <br />PHONE FAX <br />(ANC. NO. EXT): 877- 945 -7378 (NC.NO) 888- 467 -2378 <br />E-MAIL certificates@willis.com <br />INSURER(S)AFFORDING COVERAGE <br />NAIC # <br />INSURER A: ACE American Insurance Company <br />22667 -001 <br />INSURED <br />Peabody Energy Corporation and Subsidiaries <br />Attn: Robert Fenley <br />701 Market Street <br />Suite 700 <br />St. Louis, MO 63101 -1826 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />1 <br />INSURER F: <br />COVERAGES <br />CERTIFICATE HOLDER <br />Colorado Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2010/05) <br />CERTIFICATE NUMBER: 16833014 <br />n_. of KeClanlatlOf, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICI <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />CANCELLATION <br />i� 2 cJ w) <br />mac � <br />Coll :3528438 Tp1:1352652 Cert:16833014 ` ©1988-2010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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