2011-10-28_GENERAL DOCUMENTS - C1992081

Home Browse Search

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADO'L NSRI- SUBF WVD POLICY NUMBER POLICY EFF (MWI/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY HDOG25532016 11/1/2011 11/1/2012 EACH OCCURRENCE $ 5,000,000 $ 100,000 DAMAGE TO RENTED PREMISES(Eaoccurence) CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 $ 5,000,000 PERSONAL &ADVINJURY GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE 7 POLICY LIMIT APPLIES ' : JECT PER: LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS ISAH08692312 11/1/2011 11/1/2012 COMBINEDSINGLELIMIT (Ea accident) $ 5,000,000 BODILY INJURY(Per person) $ BODILY ) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ -- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory inNH)— N/A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L- DISEASE-- -EA- EMPL- OYEE - $ - - -- - - -- - Ft yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additonat Remarks Schedule, if more space is required) Named Insured: Hayden Gulch Terminal, Inc. Covers operations at Hayden Gulch Loadoul Facility including damage from surface coal, etc., Permit o (� I 11%Y;. " C -92 -081. v ` � � OCT 8 Ll, I A` °R° CERTIFICATE OF LIABILITY INSURANCE pa 1 of 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Willis of Tennessee, Inc. 26 Century Blvd. P. O. Box 305191 Nashville, TN 37230 -5191 INSURED Peabody Energy Corporation and Subsidiaries Attn: Robert Fenley 701 Market Street Suite 700 St. Louis, MO 63101 -1826 CONTACT NAME: PHONE (A/C. NO, EXT): 877-945-7378 FAX (NC. 888- 467 -2378 E -MAIL ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE INSURER A: ACE American Insurance Company INSURER B: INSURER C: INSURER D: INSURER E: DATE (MM/DD/YYYY) 10/25/2011 NAIC# 22667 -001 INSURER F: COVERAGES CERTIFICATE HOLDER Division oT rst:elaii)atiUrl, ACORD 25 (2010/05) CERTIFICATE NUMBER: 16833013 CANCELLATION Colorado Department of Natural Resources Division of Reclamation, Mining and Safety Room 215 1313 Sherman Street Denver, CO 80203 -2273 1�Nli:ing ana aaroty SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 Co11:3528438 Tp1:1352652 Cert: 1 83 13 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD