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2022-11-17_REVISION - C1992081
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2022-11-17_REVISION - C1992081
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Entry Properties
Last modified
11/28/2022 9:26:36 AM
Creation date
11/28/2022 9:20:17 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992081
IBM Index Class Name
Revision
Doc Date
11/17/2022
Doc Name
Application
From
Peabody
To
DRMS
Type & Sequence
RN6
Email Name
JDM
Media Type
D
Archive
No
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ENDORSEMENT <br /> This endorsement, effective 12:01 A.M.08/01/2021 forms a part ❑f <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 t❑ include as an additional insured under a written <br /> contract, provided such contract was executed prior to the date of loss. <br /> I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Co►rerage, 1. - Who Is Insured, is <br /> amended to add: <br /> d. Any person or organization, shown in the schedule above, t❑ whom you become obligated <br /> to include as an additional insured under this policy, as a result ❑f 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 and/or limits required by said contract or agreement. <br /> AUTHORIZE❑ REPRESENTATIVE <br /> 87950 (9/14) Includes copyrighted information of Insurance Services Office, Inc., Page 1 ❑f 1 <br /> with its permission. <br />
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