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TE ROBERTS, INC
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Last modified
4/29/2021 10:24:17 AM
Creation date
5/26/2020 9:43:23 AM
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Template:
Contracts
Company Name
TE ROBERTS, INC
Contract #
A-2020-091-03
Agency
PUBLIC WORKS
Council Approval Date
5/5/2020
Expiration Date
8/19/2022
Insurance Exp Date
9/1/2021
Destruction Year
2027
Document Relationships
T. E. ROBERTS, INC.
(Amends)
Path:
\Contracts / Agreements\T
TE ROBERTS, INC.
(Amended By)
Path:
\Contracts / Agreements\T
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POLICYNUMBER: A1CG13971801 <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) <br />Or Organization(s) <br />THE OWNER AND CONTRACTOR, IF HAT WAS BY TAE <br />TERMS OF A WRITTEN CONTRACT THAT WAS FULLY <br />EXECUTED PRIOR TO THE DATE OF THE "OCCURRENCE", <br />onAnd Descri tion Of Completed Operations <br />LOCATIONS AS REQUIRED BY AN EXECUTED <br />WRITTEN CONTRACT. <br />AND ANY OTHER PERSONS OR ENTITIES SPECIFICALLY <br />REQUIRED BY, AND IDENTIFIED BY NAME IN, THAT <br />SAME CONTRACT. <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 person(s) 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, by <br />"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 />However: <br />I. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />2. if coverage provided to the additional insured <br />is required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the c ntract or agreement to <br />provide for su(h adc tional insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable <br />Limits of Insurance shown in the Declarations. <br />CG 20 37 04 13 i /� 0 Insurance Services Office, Inc., 2012 Page 1 of 1 <br />
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