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HomeMy WebLinkAboutSt Paul change endorsement POLICY CHANGE ENDOR~EMENT This endorsement summarizes the changes to your policy. All other terms of your policy not affected by these changes remain the same. How Your Policy Is Changed Loe~ Payee Information: 0 0 The Following Who We'll Pay For Loss Is Added: PNC LEASING CORPORATION 539 FOURTH AVE. #201 LOUISVILLE KY 40202 The Following Changes Affect Vehicle 0162: Vehicle Is Added--Refer To Schedule Change Endorsement For Coverages Frovided. ADDITIONAL INFORMATION ADDITIONAL PREMID~UEAT YEAR END AUDIT. Premium Change Which Is Due Now Additional premium $0.00 If issued after the date your policy begins, these spaces must be completed and our representative must sign below. Returned Premium Policy issued to CITY OF JEFFERSONVILLE $0.00 Authorized representative ~.,,E.rtdors~,m ent,%ake s effect ~ 01/02/01 ..) 02/07/01 40704 Ed.5-84 Printed in U.S,A, Endorsement ~St,Paul Fire and Marine Insurance Co.1984 All Rights Reserved Policy Number GP06600801 11:13 006 Page 1 0 0 o 0 0 0 0 SCHEDULE CHANGE ENDORSEMENT ~eStPaul This endorsement shows the changes that are made in your Auto Schedule. Auto Year Make Type 0162 1994MACK TRUCK Liability * Un nsured Motorists* No-Fault* Medical Payments I I Comprehensive Collision Specified Causes of Loss Towing VIN/Serial Location 1M2B212C4RM003078 JEFFERSONVILLE IN ACV or Stated Amount Deductible Maximum Who We'll Pay For Physical Damage Loss. You and: PNC LEASING CORPORATION 539 FOURTH AVE. ~201 LOUISVILLE KY 40202 (*Note:Refertothe Auto Coverage Summary forthe Limit of Coverage.) Auto Year Make Type VIN/Serial Liability* ~ Comprehensive Uninsured Motorists* Collision No-Fault* Specified Causes of Loss Medical Payments Towing Location ACV or Stated Amount Deductible Maximum Who We'll Pay For Physical Damage Loss. You and: (*Note: Refer to the Auto Coverage Summary for the Limit of Coverage.) Auto Year Make Type VIN/Serial Liability * Uninsured Motorists* No-Fault* Medical Payments Comprehensive Collision Specified Causes of Loss Towing Location ACV or Stated Amount DedUctible Maximum Who We'll Pay For Physical Damage Loss. You and: (,Note: Refer to the Auto Coverage Summary for the Limit of Coverage.) Name of Insured Policy Number (;?06600801 Effective Date 01/02/01 CITY OF JEFFERSONVILLE Processing Date 02/07/01 11:13 006 44493 Ed.4-91 Printed in U.S.A. schedUle` Change ©st. Paul Fire and Marine ~nsurance Co.1990 All Rights Reserved Page ~,S[Faul Auto Year Make Type Liability* ~ Uninsured Motorists* No-Fault* Medical Payments VIN/Serial Comprehensive Collision Specified Causes of Loss Towing Location ACV or Stated Arrl~ount Deductible Maximum Who We'll Pay For Physical Damage Loss. You and: (*Note: Refer to the Aut° covebage S~(ir~'~ar,7 Tsr ~h~].~m'ii' ~f C. bverag'e~) ~.~.. ...... ~ Auto Year Make Type VIN/Serial Location Liability * Uninsured Motorists* No'Fault* Medical Payments Comprehensive Collision Specified Causes of Loss Towing ACV or Stated Amount Deductible Maximum Who We'll Pay For Physical Damage Loss, You and: (*Note: Refer to the Auto Coverage Summary for the Limit of Coverage.) Auto Year Make Type VIN/Serial Location Liability * Uninsured MOtOristS* No-Fault* Medical Payments Comprehensive Coliisibn Specified Causes of Loss Towing ACV or Stated Amount Deductible Maximum Who We'll Pay For Physical Damage Loss. You and: (*Note: Refer to the Auto Coverage Summary for the Limit of Coverage.) Page 2 ©St. Paul Fire and Marine Insurance Co.1990 All Rights Reserved