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PLACEWORKS, INC
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Last modified
10/5/2020 1:08:29 PM
Creation date
10/5/2020 1:07:00 PM
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Contracts
Company Name
PLACEWORKS, INC
Contract #
A-2017-265-24-01
Agency
Public Works
Expiration Date
10/2/2021
Insurance Exp Date
7/1/2021
Destruction Year
2026
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BA Iv96406A20CAG Effective 07/01/2020 <br />COMMERCIAL AUTO <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BUSINESS AUTO EXTENSION ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <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 the 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. BROAD FORM NAMED INSURED <br />B. BLANKET ADDITIONAL INSURED <br />C. EMPLOYEE HIRED AUTO <br />D. EMPLOYEES AS INSURED <br />E. SUPPLEMENTARY PAYMENTS —INCREASED <br />LIMITS <br />F. HIRED AUTO — LIMITED WORLDWIDE COV- <br />ERAGE — INDEMNITY BASIS <br />G. WAIVER OF DEDUCTIBLE — GLASS <br />PROVISIONS <br />A. BROAD FORM NAMED INSURED <br />The following is added to Paragraph A.1., Who Is <br />An Insured, of SECTION II — COVERED AUTOS <br />LIABILITY COVERAGE: <br />Any organization you newly acquire or form dur- <br />ing the policy period over which you maintain <br />50% or more ownership interest and that is not <br />separately insured for Business Auto Coverage <br />Coverage under this provision is afforded only un- <br />til the 180th day after you acquire or form the or- <br />ganization or the end of the policy period, which- <br />ever is earlier. <br />B. BLANKET ADDITIONAL INSURED <br />The following is added to Paragraph c. in A.1., <br />Who Is An Insured, of SECTION II — COVERED <br />AUTOS LIABILITY COVERAGE: <br />H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF <br />USE — INCREASED LIMIT <br />I. PHYSICAL DAMAGE — TRANSPORTATION <br />EXPENSES — INCREASED LIMIT <br />J. PERSONAL PROPERTY <br />K. AIRBAGS <br />L. NOTICE AND KNOWLEDGE OF ACCIDENT OR <br />LOSS <br />M. BLANKET WAIVER OF SUBROGATION <br />N. UNINTENTIONAL ERRORS OR OMISSIONS <br />this insurance applies and only to the extent that <br />person or organization qualifies as an "insured" <br />under the Who Is An Insured provision contained <br />in Section II. <br />C. EMPLOYEE HIRED AUTO <br />1. The following is added to Paragraph A.1., <br />Who Is An Insured, of SECTION It — COV- <br />ERED AUTOS LIABILITY COVERAGE: <br />An "employee" of yours is an "insured" while <br />operating an "auto" hired or rented under a <br />contract or agreement in an "employee's" <br />name, with your permission, while performing <br />duties related to the conduct of your busi- <br />ness. <br />2. The following replaces Paragraph b. in B.5., <br />Other Insurance, of SECTION IV — BUSI- <br />NESS AUTO CONDITIONS: <br />Any person or organization who is required under b. For Hired Auto Physical Damage Cover - <br />a written contract or agreement between you and age, the following are deemed to be cov- <br />that person or organization, that is signed and ered "autos" you own: <br />executed by you before the "bodily injury" or (1) Any covered "auto" you lease, hire, <br />"plupeity damage" uccurs and that is in effect rent or borrow; and <br />during the policy period, to be named as an addi- (2) Any covered "auto" hired or rented by <br />tional insured is an "insured" for Covered Autos your "employee" under a contract in <br />Liability Coverage, but only for damages telWWEWED & APPROVErb employee's" name, with your <br />By Risk MANAGrmPNT DIVISION <br />CA T3 53 02 15 m 2015 The Travelers Indemni om any. All rights reserved. Page 1 of 4 <br />Includes copyrighted material of sur ery tQno with Its permission. <br />002086 <br />IiA L V I2E <br />
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