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<br /> DATE(MMIODIYYYY)
<br /> � oRo►" CERTIFICATE OF LIABILITY INSURANCE
<br /> 07/22/2019
<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 have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER NA0ahCT Willis Towers Matson Certificate Cantor
<br /> Willis of Tennessee, Inc. PHONE 1-877-945-7379 1-888-467-2378
<br /> c/o 26 Century Blvd A! No:
<br /> P.O. Box 305191 • certificates8willia.com
<br /> Nashville, TN 372305191 USA INSURER 8 AFFORDING COVERAGE NAIC f
<br /> _ INSURERA: ACf American Insurance Company 22667
<br /> INSURED INSURERS:
<br /> Peabody energy Corporation and Subsidiaries
<br /> 701 Market Street INSURER C:
<br /> Suite 700 BBURER D:
<br /> St. Louis, no 631011626
<br /> WSURER E
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:W32091208 REVISION NUMBER:
<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
<br /> �CLAIMS.
<br /> INTRr TYPE OF INSURANCE 1NS0, vo POLICYNUMSER �Ytt zma (p LIMITS
<br /> X:COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ;$ 2,000,000
<br /> DAMAGE TO RENTED
<br /> j CLAIMS•MADE X,OCCUR i PREMISES(Ea dccurrenoe)_ __II S 2,000,000
<br /> A MED EXP(Any one person) IS
<br /> Y 8DOG71574003 0111/02/2019 08/02/2020'pER50NAL6ADVINJURV g 2,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE. _ _S 2,000,000
<br /> X POLICY_J JEta LI7C PRODUCTS COMP OP AGG $ 2,000,000
<br /> OTHER, $
<br /> N D AUTOM 1 LIMIT081LELIABILITY a 4cEidenl) - n$
<br /> 2,000,000
<br /> X ANY AUTO BODILY INJURY(Per Person) S
<br /> A OWNED i SCHEDULED I
<br /> AUTOS ONLY AUTOS ISAR25302199 08/01/2019 08/01/20201 BODILY INJURY(Per awdem,S
<br /> - -
<br /> HIRED NON-OWNED I DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (P dT.Y ;
<br /> $ _
<br /> is
<br /> �UMBRELLA LAS _OCCUR RECEIV I EACH OCCURRENCE S
<br /> EXCESS LIAB L_CLAIMS-MADE I AGGREGATE i$
<br /> .DED r^RETENTIONS $
<br /> WORKERS COMPENSATION
<br /> AND EMPLOYERS'LIABILITY YIN r STATUTE ER
<br /> ANYPROPRIETOR/PARTNERtEXECUTIVE E L.EACH ACCIDENT $
<br /> OFa�Wory In H)EXCLUDED?
<br /> N/A DIVISION OF RECLAMATI01�
<br /> �y •may j E L.DISEASE-EA EMPLOYEE$
<br /> tDESC� P r N OF OPERAT OPERATIONS below MINING AND S/iTGI,, E.L.DISEASE•POLICY LIMIT S
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Add10om1 Rernarks SdhWula,may be sthcled M more spew Is requtoA
<br /> Additional Named Insureds as follows:
<br /> Covers operations in Routt and Moffat Counties, Colorado, including but not limited to A--aga from surface coal
<br /> Operations, the use of explosives, and damage to water wells. Covered operations/properties include: Mesa Gravel Pit
<br /> - Peabody Sage Creek (lining, LLC (M-82-036); Red Rock Gravel Pit - Peabody Williams Fork Mining, LLC (M-78-315);
<br /> Seneca IOW and Yoast Mines - Seneca Property, LLC (C-92-057 6 C-94-082), Hayden Gulch Loadout - Hayden Gulch Terminal,
<br /> LLC (C-92-081); Williams Fork Mims - Moffat County Mining, LLC (C-81-044); Foidel Creek Mine - Twentymile Coal, LLC
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN
<br /> ACCORDANCE W THTHE POLICY PROVISIONS.
<br /> Colorado Division of Reclamation, Mining and Safety,
<br /> State Board of Land Commissioners AUTNORQEORlPRt(SENTATIVE
<br /> 1313 Sher-an Street, Room 225
<br /> Denver, CO $0203
<br /> 01988-2016 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br /> sit m: 19267549 SAS: 1293074
<br /> 202 204
<br />
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