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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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07/01/20 to 07/01/21 aEPK131438 <br />THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - <br />COMPLETED OPERATIONS <br />This endorsement modifies Insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />Name of Additional Person(s) or <br />Required By Written <br />SCHEDULE <br />Location And Description Of <br />Required By Written Contract. <br />(Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section III — Who Is An Insured within the <br />Common Provisions is amended to include as <br />an insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to <br />liability for "bodily injury" or "property damage" <br />caused, in whole or in part, by "your work" at <br />the location designated and described in the <br />schedule of this endorsement performed for <br />that additional Insured and included in the <br />"products -completed operations hazard". <br />REVIEWED & APPROVED <br />By Risk Mntinrrmmi DivisiON <br />Operations <br />EN0320-0211 �020 <br />Page 1 of 1 <br />IAMBI <br />FHANCINE R. VIL REAL <br />
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