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Last modified
6/4/2019 4:47:35 PM
Creation date
3/13/2019 10:35:09 AM
Metadata
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Template:
Contracts
Company Name
DREAM SHAPERS
Contract #
N-2018-128-01
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2019
Insurance Exp Date
6/13/2020
Destruction Year
2024
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NONPROFITS POLICY NUMBER: 2018.08609 FORM: NIAC-E61 11 17 <br />® INSURANCE NAMED INSURED: Los Angeles Dream Shapers (The) <br />ALLIANCE Of CALIFORNIA <br />A Head for Insuronca. A Heart for Nonprofits. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />PRIMARY AND NON-CONTRIBUTORY <br />ENDORSEMENT FOR PUBLIC ENTITIES <br />This endorsement modifies insurance provided under the fallowing: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization; <br />(Information required to complete this Schedule, if not shown above, will be shown in the Declarations,) <br />A. Section II — Who Is An Insured is amended to include any public entity as an additional insured for whom you <br />are performing operations, who may be named In the schedule above, when you have agreed in a written <br />contract or written agreement that such public entity be added as an additional insured(s) on your policy, but <br />only with respect to liability for "bodily injunf, "property datnaga" or "personal and advertising injury" caused, in <br />whole or in part, by: <br />1. Your negligent acts or omissions; or <br />2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing <br />operations; <br />No such public entity is an additional insured for liability arising out of the "products -completed operations <br />hazard" or for liability arising out of the sole negligence of that pubic entity. <br />B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. <br />This insurance does not apply to'bodily injury" or °property damage" occurring after: <br />1. All work, including materials, parts or equipment furnished in connection with such work, on the project <br />(otherthan service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at <br />the location of the covered operations has been completed; or <br />2. That portion of "your work" out of which injury or damage arises has been put to its intended use by any <br />person or organization other than another contractor or subcontractor engaged in performing operations for <br />a principal as a part of the same project. <br />C. The following is added to SECTION Ill — LIMITS OF INSURANCE: <br />The limits of insurance applicable to the additional insured(s) are those specified in the written contract between <br />you and the additional insured(s), or the limits available under this policy, whichevt[Wl less. These limits are <br />part of and not in addition to the limits of insurance under this policy. 'tie <br />NIAC-E61 11 17 \� j�r� G t Q k y\� page I of 2 <br />
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