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2022-08-09_GENERAL DOCUMENTS - C1994082 (3)
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2022-08-09_GENERAL DOCUMENTS - C1994082 (3)
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Last modified
8/15/2022 1:50:10 PM
Creation date
8/11/2022 9:57:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
General Documents
Doc Date
8/9/2022
Doc Name
Certificate of Insurance
From
MARSH USA Inc
To
DRMS
Permit Index Doc Type
Insurance
Email Name
RAR
JLE
Media Type
D
Archive
No
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ENDORSEMENT <br /> This endorsement, effective 12:01 A.M.08/01/2021 forms a part of <br /> Policy No. CA 8682565 issued to Peabody Energy Company <br /> by NATIONAL UNION FIRE INSURANCE COMPANY <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> SCHEDULE <br /> ADDITIONAL INSURED: <br /> Any person or organization whom you have agreed to include as an additional insured under a written <br /> contract, provided such contract was executed prior to the date of loss. <br /> L SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is <br /> amended to add: <br /> d Any person or organization, shown in the schedule above, to whom you become obligated <br /> to include as an additional insured under this policy, as a result of any contract or agreement <br /> you enter into which requires you to furnish insurance to that person or organization of the <br /> type provided by this policy, but only with respect to liability arising out of use of a covered <br /> "auto". However, the insurance provided will not exceed the lesser of: <br /> (1) The coverage and/or limits of this policy, or <br /> (2) The coverage andlor limits required by said contract or agreement. <br /> AUTHORIZED REPRESENTATIVE <br /> 87950 (9/14) Includes copyrighted information of Insurance Services office, Inc., page 1 of 1 <br /> with its permission. <br />
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