2017-08-02_GENERAL DOCUMENTS - C1982057

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Page 1 of 1 AC40R DATE Y)ERTIFIATE F LIABILITY INRANE 07/27/2017 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(les) must have ADDITIONAL INSURED provisions or 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 h lieu of such endorsement(s). PRODUCER CONTACT NAME: Willis of Tennessee, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd No Ext): A/C Nol. 2 P.O. Box 305191 '',, AD RIESS: certificates@willis.com Nashville, TN 372305191 USA Pv�+ INSURERS AFFORDING COVERAGE NAIC# ACE American Insurance Company 1 22667 INSURED C %"'' �,\\pN O S� INSURER B Peabody Energy Corporation and Subsidiarie��V�"'�' j�N 701 Market Street M�N�N� INSURERC: Suite 700 INSURERD: St. Louis, MO 631011826 C(AVFRA(:FS CERTIFICATE NUMRER- W3096275 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 I TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDDNYY POLICY EXP MWDDNYYY LIMITS 1313 Sherman Street X COMMERCIAL GENERAL LIABILITY Denver, CO 802032273 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE FX7 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 2,000,000 MED EXP (Any one person) $ A PERSONAL &ADV INJURY $ 2,000,000 N N HDOG27870491 08/01/2017 08/01/2018 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 RO- RO F7 LOC POLICY F7 PRO- JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER• AUTOMOBILE LIABILITY COtMBINED SINGLE LIMIT $ 2,000,000 Ea acciden_ BODILY INJURY (Per person) $ X ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS N N ISAH09062725 08/01/2017 08/01/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVEE PER OTH- STATUTE I I ER L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) EL DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured: Seneca Coal Company, LLC, a Subsidiary Covers operations at Seneca II -W Mine including damage from surface coal mine operations, the use of explosives and damage to water wells. CFQTIFICATF NAI r1FR CONCFI I OTION U 1988-2075 AGURD GURPORATIUN. All rlgnts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 14889283 BATCH: 397018 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 Department of Natural Resources Division of Reclamation, Mining and Safety AUTHORIZED REPRESENTATIVE Room 215 1313 Sherman Street ))p Denver, CO 802032273 U 1988-2075 AGURD GURPORATIUN. All rlgnts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 14889283 BATCH: 397018