2018-08-08_GENERAL DOCUMENTS - C1982057

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Page 1 of 1 ® DATE A (MMIDDIYYYY) `(-V,(J.,.R,Q CERTIFICATE OF LIABILITY INSURANCE 07/26/2018 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 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 holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Willis of Tennessee, Inc. PHONE FAX 1-877-945-7378 1-888-467-2378 c/o 26 Century Blvd E-MAIL AIC No Ext): AIC No P.O. Box 305191 }., ADDRESS: certificates@willis.corn Nashville, TN 372305191 USA �q`♦�� INSURERS AFFORDING COVERAGE NAIC# �y INSURER A: ACE American Insurance Company 22667 INSURED / INSURER B: Peabody Energy Corporation and Subsidiaries ,,j r"!n U ry/) INSURER C: 701 Market Street t/�+/� �,J f A Suite 70s, NO 631011826 DIV/ /o/v 178 U INSURER D: MIA/I�O�R�n��g7� INSURER E: rY V l+ "'tel! INSURER F COVERAGES CERTIFICATE NUMB 34 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD POLICY NUMBER MM/DD MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE CLAIMS-MADE �OCCUR PREM SESOEaEoccuence $ 2,000,000 A MED EXP(Any one person) $ RDOG 71209003 08/01/2018 08/01/2019 PERSONAL&ADV INJURY $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY 1-1PRO- F-1LOCPRODUCTS-COMP/OP AGG $ 2,000,000 X JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED ISAH 25268398 08/01/2018 08/01/2019 BODILY INJURY(Per acadent) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OH- ERT EMPLOYERS'LIABILITY STATUTE ER YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ NIA El EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,descnbe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe 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- CERTIFICATE HOLDER CANCELLATION 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 Denver, CO 802032273 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16501781 HATCH: 803455