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PSOMAS, INC. (4)
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Last modified
9/25/2019 12:20:15 PM
Creation date
9/12/2019 3:36:57 PM
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Template:
Contracts
Company Name
PSOMAS, INC.
Contract #
A-2014-224-02
Agency
Public Works
Council Approval Date
9/16/2014
Expiration Date
8/31/2020
Insurance Exp Date
10/15/2019
Destruction Year
2025
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POLICY NUMBER: 5268212 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Location And Description Of Completed Operations <br />Or Organizations} <br />AKY PERSON OR ORGANIZATION WHO YOU PER THE CONTRACT OR AGREEMENT <br />BECOME OBL I GATEIYAT0?'INCLUDE AS' AN <br />ADDITIONAL INSURED -'AS A RESULT OF <br />ANY CONTRACT OR AGREEMENT YOU <br />HAVE ENTERED INTO <br />l�M:+���\•7�1 CS�1rF:i�[�4 W1�1C.'.._.R;�::ii���--��iA. Mi. <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 <br />include as an additional insured the personls) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury" or <br />"property damage" caused, in whole or in part, <br />by "your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and <br />included in the "products -completed operations <br />hazard". <br />Mich you are required by the contract or <br />agreement to provide for such additional <br />insured. <br />S. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section Ill - Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most <br />we will pay on behalf of the additional insured <br />is the amount of insurance: <br />However: 1. Required by the contract or agreement; or <br />1. The insurance afforded to such additional 2. Available under the applicable Limits of Insu- <br />insured only applies to the extent permitted rance shown in the Declarations; <br />by law; and <br />whichever is less. <br />2. If coverage provided to the additional <br />insured is required by a contract or agree- This endorsement shall not increase the appli- <br />ment, the insurance afforded to such addi- cable Limits of Insurance shown in the Decla- <br />tional insured will not be broader than that rations. <br />REVIEWED & APPROVED <br />By RISK MANAGEMENT DIViSiON <br />SE 19 2019 <br />CG 20 37 04 13 0Insurance Sei VILLAREAL Page 1 of 1 <br />Im <br />
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