2018-08-08_GENERAL DOCUMENTS - C1982057 (2)

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Page 1 of 1 ` ® DATE(MMIDD/YYYY) A /`1CERTIFICATE OF LIABILITY INSURANCEF o7 /26/2D18 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). CONTACT PRODUCER G`v NAME: Willis of Tennessee, Inc. GGV PHCONEN Ext): 1_877-945-7378 FAX A/C No 1-888-967-2378 R`V c/0 26 Century Blvd �oAQ E-MAIL ESS.ADDRESS. certificates@willis.COm P.O- Sox 305191 \U Nashville, TN 372305191 USA -`f1 O INSURER(SI AFFORDING COVERAGE NAIC# P INSURER A ACE American Insurance Company 22667 INSURED �a��`,�y��)� INSURER B: Peabody Energy Corporation and Subsidiaries t)� 701 Market Street .\�� INSURER C Suite 700 M INSURER D: St. Louis, NO 631011826 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:W6990348 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. ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR LTR TYPE OF INSURANCE IK=WVD POLICY NUMBER MMIDD MMIDD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED 2,000,000 CLAIMS-MADE X OCCUR PREMISES Eaoccurtence $ A MED EXP(Any one person) $ RDOG 71209003 08/01/2018 08/01/2019 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY❑ JECT OTHER COMBINED S ntINGLE LIMIT $ 2,000,000 AUTOMOBILE LIABILITY Ea acade BODILY INJURY(Per person) $ X ANY AUTO A OWNED SCHEDULED ISAB 25268398 08/01/2018 08/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acadent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ PER OTH- WORKERS COMPENSATION STATUTE OR AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ NIA E L.DISEASE-EA EMPLOYEE $ (Mandatory in NH) If yes,descnbe under I E L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Named Insured include: Seneca Property, LLC. Covers operations at Seneca II Mine, Seneca II-W Mine and Yoast 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. AUTHORIZED REPRESENTATIVE Colorado Division of Reclamation, Mining b Safety 1313 Sherman Street, Room 215 %�'' r = Denver, CO 80203 F ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16501781 aATCH: 803455