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GENERAL43220
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Entry Properties
Last modified
8/24/2016 8:12:01 PM
Creation date
11/23/2007 12:15:56 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
General Documents
Doc Date
10/2/2007
Doc Name
Certificate of Liability Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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ACORD <br />CERTIFICATE OF LIABILITY INSURANCE <br />~, <br />page 1 of 2 09/28/2007 <br />PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />Willie xorth America, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />z6 Century Hlvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />P. O. Hox 305191 <br />xashville, 1N 37z30519i INSURERS AFFORDING COVERAGE NAICR <br />INSURED peabody Energy Corporation INSURER A: ACH American Insurance Company 22667-001 <br />Attn: Walter xawkine <br />701 Mark¢t Street INSURER R: <br /> <br />Suite 700 INSURER G: <br />SC. Louie, MO 63101-1826 <br /> INSURER D: <br /> INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOW N MAY HAVE BEEN REDUCED BV PAID CLAIMS. <br />INSR D' CY EFFECTIVE <br />P POLICY EXPIRATION <br /> N TYPE OFINSURANCE POLICY NUMBER OAT LIMRS <br />A GENERAL UneD-m ~ HDOG23717773 10/1/2006 11/1/2007 EACHOCCURRENCE $ 2 000 000 <br /> X COMMERCIAL GENERAL LIABILITY PgEMISES Ea occTurence $ 5O OOO <br /> CLAIMS MADE ~ OCCUR MED EXPIAnyone person) $ 5 QQQ <br /> PERSONALB ADVINJURV $ 1 OOO OOO <br /> GENERAL AGGREGATE $ 4 QQQ QQQ <br /> GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP qGG $ 4 OOO OOO <br /> POLICY PR~ LOC <br />}, AUT OMOBILE LIABILITY ISAH08228103 10/1/2006 11/1/2007 COMBINED SINGLE LIMIT <br /> <br />X <br />ANV AUTO <br />(Ea accident) $ 2,000,000 <br /> ALL OWNED AUTOS <br />BODILY INJURY <br /> <br />SCHEDULED AUTOS <br />(Per person) $ <br /> HIRED AUTOS <br />80DILY INJURY <br />$ <br /> NON-0 WNED AUTOS (Peraccitlent) <br /> PROPERTY DAMAGE <br /> VED $ <br /> RECEI (Per accitlen0 <br /> GARAGE LIABILITY AUTOONLY-EA ACCIDENT $ <br /> ANY AUTO (1(aT n O 9007 OTHER THAN EA ACC $ <br /> I,ll,l '1 L C 1 AUTO ONLY: AGG $ <br /> EXCESSNMBRELLA LIABILITY <br />ti <br />o <br />~iviaron of rteGama EACH OCCURRENCE $ <br /> , <br /> OCCUR ~ CLAIMS MADE h <br />' <br />~{nl~ a{~ ~e•J AGGREGATE $ <br /> <br /> DEDUCTIBLE $ <br /> RETENTION $ $ <br /> RKERS LOMPENSAT.ON'ANO-_ --_. - ._ .. -. -_ WC'STATU=..-.OTH- - - -- - _ _ <br /> ' T RV IMIT <br /> EMPLOYER$ <br />LIABILITY <br /> ANY PROPRIETOR/PARTNER/EXECUTIVE E. L. EACH ACCIDENT $ <br /> OFFICER/MEMBER EXCLUDED? <br />EL DISEASE-EA EMPLOYEE <br />$ <br /> If yes, describe under <br /> SPECIAL PROVISIONS below EL.DISEASE-POLICY LIMB $ <br /> OTHER <br />DESCRIPTION OF OPERATIONSILOCATIONSIYEHIOLESIEXCLUSION$ AOOED 5Y ENDORSEMENTSPECIALPRONSIONS <br />Named Insured: Seneca Coal Co., a Subsidiary <br />Covers operations at Yoast Mine including damage form surface coal mine operations, the use of <br />explosives and damage to water wells. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL XOfiI€II1671Xld MAIL 3O DAYS WRITTEN <br />NOTICE TO THE CERDFlLATE MOLDER NAMED TO THE LEF~~](•~I~~L <br />Colorado Divi eioa of Reclamation, Mining 8 Safety WIIdGYY047N[GIQW[35Y35XXOOfI0fQF1tlClE1Q$ XN~COfH[ldXAD4XX&66000Cd[9C <br />Division of Minerals and Geology <br />Room 215 <br />1313 Sheimaa Street AU ORIZE PR E ATVE <br />Deaver, CO H0203-2273 <br />ACORD 25 (2001/08) Co11:2124235 Tp1:547796 Cert• 544707 ®ACORD CORPORATION 1988 <br />
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