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2013-02-25_REVISION - C1981044
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2013-02-25_REVISION - C1981044
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Entry Properties
Last modified
8/24/2016 5:13:32 PM
Creation date
2/26/2013 8:22:07 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
REVISION
Doc Date
2/25/2013
Doc Name
Letter & Application
From
Moffat County Mining, LLC
To
DRMS
Type & Sequence
RN6
Email Name
ZTT
DIH
Media Type
D
Archive
No
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AGENCY <br />Willis of Tennessee, Inc. <br />NAMED 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 />POLICY NUMBER <br />See First Page <br />CARRIER <br />ACE American Insurance Company <br />NAIC CODE <br />22667 -001 <br />EFFECTIVE DATE: See First Page <br />ACORD <br />ADDITIONAL REMARKS <br />ACORD 101 (2008/01) <br />AGENCY CUSTOMER ID: 236021 <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE <br />Paged of Z_ <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER* 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />The County Governments and /or County Commissioners of the Counties identified above are included <br />as Additional Insured Parties re: General Liability, but only in respect to their interest in the <br />operations of the Named Insured, and only for such terms and limits which are the lesser of the <br />policies hereon or the written requirements between the Named Insured and the Certificate Holder. <br />Co11:3905349 Tp1:1544835 Cert:18784785 © 2008ACORDCORPORATION .Allrightsreserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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