Transcription of SUPPLEMENT TO TRUCK APPLICATION CARGO COVERAGE …
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SUPPLEMENT TO TRUCK APPLICATION CARGO COVERAGE …
SUPPLEMENT TO TRUCK APPLICATIONCARGO COVERAGE APPLICATIONThis SUPPLEMENT is a part of the APPLICATION and willbe relied upon by the Company as an integral part ofthe APPLICANT'S NAME 2. Has any company ever cancelled or refused to issue CARGO insurance? G Yes G NoIf yes, explain 3. Have you purchased CARGO insurance in the past 3 years? G Yes G CARGO CARRIER AND LOSS EXPERIENCE (list for the past three years with most recent carrier first).Policy TermFromToCompany & Policy NumberPremiumNumber ofClaimsCause of LossAmount of CARGO % of HaulingMaximum ValueAverage desires to have CARGO premiums applied to each:G power unit, which includes any trailers, semi-trailers, or mobile homes, but only while attached to a described power unit, or;G trailers or NEEDS Complete for desired coverages:G Named Perils or G Broad FormDeductible Amount $ Limit of Insurance $ OPTIONAL COVERAGES (Additional Premium):G Additional Insured Endorsement (Lessee)G Loading and Unloading CoverageG Earned Freight CoverageG Refrigeration Breakdown CoverageG Hired Car CARGO CoverageR
SUPPLEMENT TO TRUCK APPLICATION CARGO COVERAGE APPLICATION This Supplement is a part of the Application and will be relied upon by the Company as an integral part of
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