2022-08-09_GENERAL DOCUMENTS - C1982056

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I ® -DATE(MM/DD/YYYY) A�V CERTIFICATE OF LIABILITY INSURANCE 08/03/2022 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 Marsh U S.Operations MARSH USA INC NAME: p 540 W.MADISON PHONE 866 966 4664 (FAX,/ No): 212-948 0811 CHICAGO,IL 60661 E-MAIL StLouis.CertRequest@Marsh.Com ADDRESS: C;VJV I:® INSURERS AFFORDING COVERAGE NAIC# R. v INSURER A:National Union Fire Insurance Comp.of Pittsburgh,PA 19445 INSURED PeabodyEnergy Corporation r INSURER B:N/A N/A and Subsidiary Companies pp n U 9 2022 INSURER C:Underwriters at Lloyd's of London 15792 Attn:Kala Collett t~ `` INSURER D: Gateway One Building OF RECLAMATION" 701 Market Street,Suite 700 l` 10N INE RALS INSURER E St Louis,MO 63101-1826 A I° , SAFETY-M INSURER F: COVERAGES RTIFICATE NUMBER: CHI-009884782-03 REVISION NUMBER: 3 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDffYYY POLICY EFF MM LICY EXP LTR /D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X 7032448 08/01/2022 08/01/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE E OCCUR PREMISES Ea occurrence) $ 2,000,000 MED EXP(Any one person) $ 0 PERSONAL&ADV INJURY $ 1,000,000 GEN'X L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident r $ X UMBRELLA LIAB X OCCUR B0509BOWCN2250874 08/01/2022 08/01/2023 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY Y/N STATUTE EIR ANYPROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE Twentymile Coal,LLC Colorado Division of Reclamation,Mining and Safety Is included as Additional Insured where required by written contract CERTIFICATE HOLDER CANCELLATION Colorado Division of Reclamation, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Mining and Safety THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1313 Sherman Street,Room 215 ACCORDANCE WITH THE POLICY PROVISIONS. Denver,CO 80203 AUTHORIZED REPRESENTATIVE IM41V9414 2LS1-4 49"C. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD