2011-10-28_GENERAL DOCUMENTS - C2009087

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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 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 ADD'L INSRC SUBF WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY Y INSURER B: > DOG25532016 11/1/2011 11/1/2012 EACH OCCURRENCE $ 5,000,000 $ 100 , 000 PREMISES (Ea occurence) I CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 $ 5,000,000 PERSONAL &ADVINJURY GENERAL AGGREGATE $ 6,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PRO JECT PER: LOC PRODUCTS - COMP/OP AGG $ 6,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY(Per person) $ BODILY INJURY(Peraccident) $ 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/EXECUTIVEI I OFFICER/MEMBER EXCLUDED? - (Mandator in NH) N WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E L DISFASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below $ E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) Re: Peabody Sage Creek Mining, LLC It is agreed that Colorado Division of Reclamation, Mining and Safety is included as an Additional Insured as respects to General Liability where required by contract or agreement. o �f1 /�r._.t^r Covers operations at Peabody Sage Creek Mining, LLC including the use of explosives. ��'r'I� � '' nrr ', 0 A d CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 10/2 /2011 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 CONTACT NAME: WC 877- 945 -7378 FAX 888- 467 -2378 E -MAIL ADDRESS: certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 -001 INSURED Peabody Energy Corporation Attn: Robert Fenley 701 Market Street Suite 700 St. Louis, MO 63101 -1826 INSURER B: INSURER C: INSURER D: INSURER E: I INSURER F: COVERAGES HOLDER ACORD 25 (2010/05) CERTIFICATE NUMBER: 16832934 CANCELLATION C,2,CM-oT V Colorado Division of Reclamation, Mining and Safety 1313 Sherman Street, Room 215 Denver, CO 80203 fMvitinn or rv:,;lzar()8Ylol",, SHOULD ANY OF THE ABOVE DESCRIBED POLICIIEw BECAN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -----) )%e.. Co11:3528438 Tp1:1352679 Cert:16 © 1988- 2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD