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I I I UNDERGROUND STORAGE TANK PETROLEUM LIABILITY ENDORSEMENT Named Insured Endorsement Number 1 (page 2 of 2) Policy Symbol Policy Number Policy Period Effective Date of Endorsement PLI Gl 029588 0 1/1/2001 to 1/1/2002 1/1 2001 Issued By(Name of Insurance Company) Ace Property and Casualty ComWa Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. i i b. Ace Property and Casualty Company is liable for the payment of amount within any deductible applicable to the Policy to the provider of corrective action or a damaged third-party, with a right of rlimbursement by the Insured for any such payment make by Illinois Union Insurance Company. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CPR 280.95-280.102. c. Whenever requested by, a Director of an implementing agency, Ace Property and Casualty Company agrees to furnish to (the Director) a signed duplicate original of the Policy and all endorsements. d. Cancellation or any other termination of the insurance by Ace Property and Casualty Company, except for non-payment of premium or misrepresentation by the insured, will be effective only upon written notice and only after the expiration of 60 days after a copy of such written notice is received by the Insured. Cancellation for non-payment of premium or misrepresentation by the Insured will be effective only upon written notice and only,a£ter expiration of a minimum of 10 days after a copy of such written notice is received by the Insured. e. The insurance covers claims otherwise covered by the Policy that are reported to Ace Property and Casualty Company within six months of the effective date of cancellation or non-renewal of! the Policy except where the new or renewal policy has the same retroactive date or a! retroactive date earlier than that of this prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable, and prior to such renewal or termination date. Claims reported during such extended reporting period are' subject to the terms, conditions, limits including limits of liability, and exclusions of the policy. I hereby certify that the wording of this instrument is identical to the wording in 40 CPR 280.97 (b) (1) and that Ace Property and Casualty Company is licensed to. transact the business of insurance in one or more states. i Authorized Representative Allan R. Sturdivant Illinois,Union Insurance Company Casualty Account Manager 8755 West Higgins Road Chicago„Illinois 60631 ACE USA Two Riverway, Suite 1100 Houston, TX 77056-1975 i i Authorized Agent CC-1815 Printed in U.S.A.