2011-11-03_GENERAL DOCUMENTS - C1981044

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A�oRO� CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 FD�ATE ` 03;20 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 CONTACT Willis of Tennessee, Inc. 26 Century Blvd. P. 0. Box 305191 PHONE FAX 877- 945 -7378 888 - 467 -2378 EAIL -M certificatesQWillis.com Nashville, TN 37230 -5191 INSURER(S)AFFORDINGOOVERAGE NAIC# INSURERA:ACE American Insurance Company 22667 -001 EACH OCCURRENCE INSURED Peabody Energy Corporation and Subsidiaries INSURER B: $ 100 000 INSURER C: X COMMERCIAL GENERAL LIABILITY Attn: Robert Fenley 701 Market Street Suite 700 INSURER D: INSURER E: St. Louis, MO 63101 -1826 INSURER F: COVERAGES CERTIFICATE NUMBER: 16904517 REVISION NUMBER:See Remarks 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 TYPEOFINSURANCE DD' SUB pOLICYNUMBER POLICYEFF POLICY EXP LIMITS A GENERAL LIABILITY HDOG25532016 11/1/2011 11/1/2012 EACH OCCURRENCE $ 5 000 000 PREMISES Eaoccurence $ 100 000 X COMMERCIAL GENERAL LIABILITY CLAIMS- MADEIX IOCCUR MED EXP (Any one person) $ 5 f 000 PERSONAL & ADV INJURY $ 5 000 000 GENERALAGGREGATE $ 6 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OPAGG $ 6 000 000 $ POLICY PRO LOC A AUTOMOBILE LIABILITY ISAH08692312 11/1/2011 11/1/2012 COMBINED SINGLE LIMIT (Ea accident) $ 5, 000, 000 BODILY INJURY(Per person) $ X ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTYDAMAGE (Peraccident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WCSTATU- OTH- ANDEMPLOYERS'LIABILITY Y/N ANYPROPRIETOR /PARTNER /EXECUTIVE❑ OFFICER /MEMBER EXCLUDED? !Mandatory in NH) Eyes, describe under N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 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) THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 10/25/2011 WITH ID: 16833040 Moffett County Mining, LLC Including Permit C -81 -044. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) Coll:3539050 Tpl:1352650 Cert:16904517 © 1988- 2010ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Colorado Division of Reclamation Mining and Safety AUTHORIZED REPRESENTATIVE 1313 Sherman Street Room Denverr, , CO 80203 j !�, � / f ACORD 25 (2010105) Coll:3539050 Tpl:1352650 Cert:16904517 © 1988- 2010ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD