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2013-11-06_GENERAL DOCUMENTS - C1980005
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2013-11-06_GENERAL DOCUMENTS - C1980005
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Entry Properties
Last modified
8/24/2016 5:37:05 PM
Creation date
11/6/2013 1:00:23 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/6/2013
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JDM
DIH
Media Type
D
Archive
No
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G.ICASo_00s <br />RECEIVED 3om <br />NOV 0 0 [ 013 <br />DMSIr)N nG RC(`1 AIIATr . <br />A� °® CERTIFICATE OF LIABILITY INSURANCE page I fIr1G <br />AIM/ 0133) <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 />CONTACT <br />Willis of Tennessee, Inc. <br />C/o 26 Century Blvd. <br />P.O. Box 305191 <br />PHONE 877 -945 -7378 FAx 888 - 467 -2378 <br />- <br />EMAIL certificatesRwillis.com <br />Nashville, TN 37230 -5191 <br />INSURER(SAFFORDING COVERAGE <br />NAIC# <br />INSURERA ACE American Insurance Company <br />22667 -001 <br />PERSONAL &ADV INJURY <br />INSURED <br />Peabody Energy Corporation and Subsidiaries <br />INSURERS <br />INSURERC <br />$ 61000,000 <br />Attn: Robert Fenley <br />701 Market Street <br />suite 700 <br />INSURERD: <br />INSURERS. <br />St. Louis, MO 63101 -1826 <br />INSURER F <br />rnvr- PAr:FS CERTIFICATE MIIURFR- inaennac RPVI1_Ir1M N111unC0- <br />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 />TYPE OF INSURANCE <br />D <br />SUB <br />um <br />POLICY NUMBER <br />POLICY EFF <br />POUCYEXP <br />11/1/2014 <br />LIMBS <br />• <br />GENERAL LIABILITY <br />$ COMMERCIAL GENERAL LIABILITY <br />CLAIMS- MADE❑$ OCCUR <br />( (0 i4ly-4) <br />EDOG2732809A <br />I <br />1/1/2013 <br />s 5,000,000 <br />pEACH�O,ECCURRENCE <br />PREMISES O TErence S 10(,000 <br />MEDEXP(Anyonepe —n) <br />S 5,000 <br />PERSONAL &ADV INJURY <br />S 5 000 ODO <br />GENERAL AGGREGATE <br />$ 61000,000 <br />GEN7_AGGREGATE LIMfiAPPLIES PER: <br />POLICY F FIR LOC <br />'PRODU CTS - COMPlOP AGG <br />$ 6 000 000 <br />§ <br />• <br />AUTOMOBILE LIABILITY <br />X ; <br />
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