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BACKFLOW APPARATUS & VALVE COMPANY
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Entry Properties
Last modified
12/6/2019 12:04:26 PM
Creation date
11/8/2018 11:06:17 AM
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Contracts
Company Name
BACKFLOW APPARATUS & VALVE COMPANY
Contract #
N-2018-200
Agency
PUBLIC WORKS
Expiration Date
8/31/2019
Insurance Exp Date
10/31/2019
Destruction Year
2024
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630-8J664090 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />XTEND ENDORSEMENT FOR COMMERCIAL INDUSTRIES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any <br />injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or <br />limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to <br />the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- <br />age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- <br />dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. <br />A. Broadened Named Insured J. Bodily Injury To Co -Employees And Co -Volunteer <br />B. Blanket Additional Insured — Broad Form Vendors Workers <br />C. Damage To Premises Rented To You <br />• Perils of fire, explosion, lightning, smoke, <br />water <br />• Limit increased to $300,000 <br />D. Blanket Waiver Of Subrogation <br />E. Blanket Additional Insured — Owners, Managers <br />Or Lessors Of Premises <br />F. Blanket Additional Insured — Lessors Of Leased <br />Equipment <br />G. Incidental Medical Malpractice <br />H. Personal Injury — Assumed By Contract <br />I. Amended Bodily Injury Definition <br />PROVISIONS <br />A. BROADENED NAMED INSURED <br />1. The following is added to SECTION II — WHO <br />IS AN INSURED: <br />Any organization, other than a partnership or <br />joint venture, over which you maintain owner- <br />ship or majority interest on the effective date <br />of the policy qualifies as a Named Insured. <br />However, coverage for any such organization <br />will cease as of the date during the policy pe- <br />riod that you no longer maintain ownership of, <br />or majority interest in, such organization. <br />2. The following replaces Paragraph 4.a. of <br />SECTION II — WHO IS AN INSURED: <br />a. Coverage under this provision is afforded <br />only until the 180th day after you acquire <br />or form the organization or the end of the <br />policy period, whichever is earlier, unless <br />reported in writing to us within 180 days. <br />K. Aircraft Chartered With Crew <br />L. Non -Owned Watercraft — Increased From 25 Feet <br />To 50 Feet <br />M. Increased Supplementary Payments <br />• Cost of bail bonds increased to $2,500 <br />• Loss of earnings increased to $500 per day <br />N. Medical Payments - Increased Limit <br />O. Knowledge And Notice Of Occurrence Or Offense <br />P. Unintentional Omission <br />Q. Reasonable Force — Bodily Injury Or Property <br />Damage <br />B. BLANKET ADDITIONAL INSURED — BROAD <br />FORM VENDORS <br />The following is added to SECTION II — WHO IS <br />AN INSURED: <br />Any person or organization that is a vendor and <br />that you have agreed in a written contract or <br />agreement to include as an additional insured on <br />this Coverage Part is an insured, but only with re- <br />spect to liability for "bodily injury" or "property <br />damage" that: <br />a. Is caused by an "occurrence" that takes place <br />after you have signed and executed that con- <br />tract or agreement; and <br />b. Arises out of "your products" which are dis- <br />tributed or sold in the regular course of such <br />vendor's business. <br />The insurance provided to such vendor is subject <br />to the following provisions: <br />REVIEWED & APPROVED <br />By Risk MANACIEMENT ❑iViSiON <br />CIS D4 58 07 13 © 2013 The Travelers Indemnity Company. All rights reserved. Page 1 of 7 <br />Includes copyrighted material of Insurance Services Office, Inc. widits pe tlsi a <br />51383140 1 18-19 GL, Auto, Dmb, 19-20 WC I Brigitte Leber 19/26/2019 7:51:27 AM (PDT) I Page 7 1 I / <br />FRAN INE VILLAREAL <br />
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