2016-08-11_GENERAL DOCUMENTS - C1981044

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PEABENE-01 GHADEPO CERTIFICATE OF LIABILITY INSURANCE ATE(M r CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 7/27//201201YYY) 6 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, cejpe a�regwe an endorsement. A statement on this certificate does not confer rights to the E certificate holder in lieu of such endorsem �l ��// r_ V PRODUCER CONTACTWillis Towers Watson Certificate Center NAME:ME: Willis of Tennessee, Inc.r c/o 26 Century Blvd AUG 11 2016 PHONE FAX AIc No Ext): (877) 945-7378 A,c, No), (888) 467-2378 P.O. Box 305191 E-MAILs: certificates@willis.com Nashville, TN 37230-5191 DfN10F RECLAMATION INSURER(S) AFFORDING COVERAGE NAIC # KONM AND SAFETY INSURER A:Ironshore Specialty Insurance Company 25445 INSURED INSURER B: Starr Indemnity & Liability Company 38318 Peabody Energy Corporation and Subsidiaries INSURER C: 701 Market Street 08/01/2017 Suite 700 INSURER D: INSURER E St. Louis, MO 63101-1826 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 TYPE OF INSURANCE A D INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DDYW IY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 CLAIMS -MADE X OCCUR 002860600 08/01/2016 08/01/2017 DAMAGE TO RENTED S,000,OOO PREMISES Ea occurrence $ MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 5,000,000 PRO - POLICY ❑ POLICY LOC PRODUCTS - COMP/OPAGG $ 5,000,000 $ OTHER AUTOMOBILE LIABILITY (CEO OMBINED SINGLE LIMIT accident $ 2,000,000 BODILY INJURY (Per person) $ B X ANY AUTO 1000072649161 08/01/2016 08/01/2017 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE I I ER E L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory i� N If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ A Excess Auto 002860500 08/01/2016 08/01/2017 Any Auto $ 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Moffat County Mining, LLC Including Permit C-81-044. CERTIFICATE HOLDER CANCELLATION - ACORD 25 (2014/01) ©1988-2014 ACORD 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 215 ;} ` 1 / `� q Denver CO 80203 ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD