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CONSCIOUS BREAK, INC. 2
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CONSCIOUS BREAK, INC. 2
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Last modified
6/22/2020 1:13:51 PM
Creation date
5/23/2018 9:09:21 AM
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Contracts
Company Name
CONSCIOUS BREAK, INC.
Contract #
N-2018-069
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2019
Insurance Exp Date
12/30/2018
Destruction Year
2024
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CL1789714 <br />UNITED STATES LIABILITY INSURANCE GROUP <br />WA YNE, PENNSY"LV"ANTA <br />This endorsement modifies insurance provided under die following: <br />CONMIERCIAL GENERAL LIABILITY COVERAGE FORM <br />Primary And Rion -Contributory - Written Contract <br />Schedule: <br />EftectiveDate: OV7'2/201712.01 AM <br />Name of Person or Organization: <br />Tl- Oily uC'1'uxuy 1W Llc, Gi e h. Aprwiut:vc 0,..,167 :.'fTiwtn, A,, .,(.>, auJ L;ugduy von lmi. �,ily adw,c wyuiicd w Lc <br />added as an additional insured condor written contmclis), tsritten pemtit(s), or written agree ment's I. <br />3WJt,cuminial Wav <br />Tmtin. CA 92 --RC, <br />(If no entry appears above, the information required to complete this endolsetncnt will be shown in the Declarations <br />as a.nolieable to this endorsement) <br />SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, <br />Paragraph A, QTRER TNAARANTCE., .i. Pa•imm-y Ltquranco ie amended tcith the addition of the fol IoNvinj; <br />'llic coverage afforded by this policy to the petson(s) or organizatiou(s) listed above is primary and non - <br />Contributory it: <br />L This insurance is required to be pruuary and non-contributory under a written contractand <br />2. '17he loss to be covered occurs on or after the effective date of the written contract; and <br />9. Trac lo, o to be cuvctxd resultcd aulcli` atd cacluaivcly' $um your onguiug aCtn or unaisaivua or tltc onpoiug <br />acts or omissions of those acting on your behalf in performing "your work" under a written contract <br />referred to above. <br />4. The person(s) or organization(s) is au additional insured under this policy. <br />l lowcvor, the coverage provided by this endorsement does not apply to any coverage provided for an "auto" on a <br />`'non -owned auto", "hired autn", uninsured motorists coverage, underinsured motorists coverage, personal injury <br />protection, property protection or similar no-fault coverage by whatever name c �1,�aoor an "auto" coverage of <br />any type.W"% <br />c22r�� <br />All other terns and conditions of this policy romahl unchanged. T 1ado ei is a as ytltur` po icy mid takes <br />effect on the effective elate of your polivw unless another cffectiv dh -• <br />V` <br />G <br />1,'776 (10-1:3) page 1 of 1 <br />
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