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Home My WebLink AboutPolicy Endorsement 44ARCH INSURANCE COMPANY ENDORSEMENTNO. 44 ATTACHED TO AND FORMING ENDORSEMENT EFFECTIVE AGENCY A PART OF (Standard time) INSURED AND POLICY NUMBER MO DAY YR 12:01 NOON CODE AM KMPKG00383 7/6/2004 X City of Jeffersonville KC001 THIS ENDORSEMENT CHANGES T. HE POLICY, PLEASE READ IT CAREFULLY In consideration for the premium charged it is hereby understood and agreed the following change(s) have been made to the AUTOMOBILE section(s) of this policy: ADD 1993 International DumpTruck 4686 7 $ 30,000 $ 250 $ 500 PREMIUM DUE: $ ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE AGENT: 398 Clark General DATE: 7/27/2004 ENTRY PERSON D. Cheek AIMUIL0015 3 3003 original JUL DATE ARCH INSURANCE COMPANY / ENDORSEMENT NO. 45 A3~-ACHED TO AND FORMING ENDORSEMENT EFFECTIVE AGENCY A PART OF (Standard time) INSURED AND CODE POLICY NUMBER MO DAY YE 12:01 NOON AM KMPKG00383 7/23/2004 X City of Jeffersonville KC001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In cOnsideration for the premium charged it is he,reby understood and agreed the following change(s) have been made to the PROPERTY section(s) of this policy: Limit I Contents LimitI Address I CK IValuationl Built I BFI CHANGE FROM 16 $ 20,000 1005 Fulton/Trk Park Bldg 1 R 1960 400 CHANGE TO 16 $ 20,000 $ 5,000 1005 Fulton/Trk Park Bldg 1 R 1960 400 CHANGE FROM 16 $ 30,000 Mechanics/Const Crew Bldg 1 R 1960 400 CHANGETO 16 $ 30,000 $ 15,000 Mechanics/ConstCrewBIdg 1 R 1960 400 PREMIUM DUE: $ - WAIVED ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE AGENT: 398 Clark General DATE: 7/27/2004 ENTRY PERSON D. Cheek AIMUIL0015 3 2003 JUL 2 ? 200 DATE Original ARCHINSURANC COMPANY ENDORSEMENT NO. 43 A'n'ACH ED TO AND FORMING ENDORSEMENT EFFECTIVE AGENCY A PART OF (Standard time) INSURED AND CODE POLICY NUMBER MO DAY YR 12:01 NOON AM KMPKG00383 7/1/2004 X City of Jeffersonville KC001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In consideration for the premium charged it is hereby understood and agreed the following change(s) have been made to the INLAND MARINE Status Year Make ADD section(s) of this policy Item }M Model Serial # Limit Valuation Deductible Gas Pumps with Tanks Above Ground $ 10,000 R $ 500 PREMIUM DUE: $ - WAIVED ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED AUTHORIZED REPRESENTATIVE DATE AGENT: 398 Clark General DATE: 7/27/2004 ENTRY PERSON D. Cheek AIMUIL0015 3 2003 Original