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2016-08-11_GENERAL DOCUMENTS - C1982057
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2016-08-11_GENERAL DOCUMENTS - C1982057
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Last modified
4/27/2018 3:21:16 PM
Creation date
8/12/2016 9:13:20 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
General Documents
Doc Date
8/11/2016
Doc Name
Certificate of Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
JHB
JRS
Media Type
D
Archive
No
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PEABENE-01 GHADEPO <br />.►111* " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (M/201YYY) <br />7/27/2016 <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 endorsemen <br />PRODUCER <br />Willis of Tennessee, Inc. 'VED <br />c/o 26 CenturyBlvd <br />P.O. Box 305191 <br />Nashville, TN 37230-5191 AUG 17 2016 <br />CONTACT <br />NAME: Willis Towers Watson Certificate Center <br />PHONE (g77) 945-7378 Fvc No 888 467-2378 <br />ac No Extl: ( ) <br />E-MAIL <br />ADDRESS: certificates@willis.com <br />LIMITS <br />DFOSI <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A:Ironshore Specialty Insurance Company 25445 <br />INSURED MINING N <br />Peabody Energy Corporation and SubsidiariesDs� ETY <br />701 Market Street <br />INSURER B: Starr Indemnity & Liability Company 38318 <br />INSURER C: <br />Suite 700 <br />INSURER D <br />INSURER E <br />St. Louis, MO 63101-1826 <br />INSURER F: <br />002860600 <br />COVERAGES CERTIFICATE NUMBER: REVISION NIIMRFR- <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 />LTR <br />I TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDD <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Denver CO 80203-2273 <br />EACH OCCURRENCE $ 5,000,000 <br />CLAIMS -MADE T OCCUR <br />002860600 <br />08/01/2016 <br />08/01/2017 <br />DAMAGE TENTE 5 000,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ 5,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY ❑ PRO- <br />JECT LOC <br />GENERAL AGGREGATE $ 5,000,000 <br />PRODUCTS -COMP/OP AGG $ 5,000,000 <br />$ <br />OTHER <br />AUTOMOBILE <br />LIABILITY <br />COMBINEDSINGLE LIMIT $ 2,000,000 <br />B <br />X <br />ANY AUTO <br />1000072649161 <br />08/01/2016 <br />08/01/2017 <br />BODILY INJURY (Per person) $ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident $ <br />( ) <br />NON-OWNEDPROPERTY <br />HIRED AUTOS AUTOS <br />DAMAGE <br />Per accident $ <br />UMBRELLA LIAB <br />HCLAIMS-MADE <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />AGGREGATE $ <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />N I A <br />STATUTE ER <br />E L EACH ACCIDENT $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E L DISEASE -POLICY LIMIT $ <br />A <br />Excess Auto <br />002860500 <br />08/01/2016 <br />08/01/2017 <br />Any Auto $ 3,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Named Insured: Seneca Coal Company, LLC, a Subsidiary <br />Covers operations at Seneca II -W Mine including damage from surface coal mine operations, the use of explosives and damage to water wells. <br />(_FRTIFIrATF Hnl nFR CANCELLATION <br />ACORD 25 (2014/01) <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Colorado Department of Natural Resources <br />AUTHORIZED REPRESENTATIVE <br />Division of Reclamation, Mining and Safety <br />Room 215 <br />� _ <br />1313 Sherman Street <br />ter} <br />Fj <br />;! , <br />Denver CO 80203-2273 <br />ACORD 25 (2014/01) <br />@ 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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