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BEAN SPROUTS, LLC (2)
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BEAN SPROUTS, LLC (2)
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Last modified
2/11/2021 3:47:12 PM
Creation date
2/4/2021 5:20:57 PM
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Contracts
Company Name
BEAN SPROUTS, LLC
Contract #
A-2018-113-01
Agency
Parks, Recreation, & Community Services
Council Approval Date
5/1/2018
Expiration Date
9/17/2023
Insurance Exp Date
7/3/2021
Destruction Year
2028
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EXTENSION SCHEDULE OF <br />UNDERLYING INSURANCE POLICIES <br />This extension schedule forms a part of the policy designated in the Declarations. <br />Carrier, Policy Number and Policy Period: <br />A. SENTINEL INSURANCE COMPANY, LIMITED <br />59 SBA RV9040 11/13/20 TO 11/13/21 <br />Type of Coverage Applicable Limits <br />(X ) Business Liability - including: Bodily Injury and Property Damage <br />Liability Combined <br />$1, 000, 000 each occurrence <br />$2, 000, 000 general aggregate <br />Employees as Additional Insureds <br />Contractual Liability <br />Limited Non -Owned Watercraft <br />Additional Insureds <br />Damages To Premises Rented To You <br />( X ) Personal and Advertising Injury <br />( X ) Products/Completed Operations <br />( X ) Hired Auto and Non -Owned Auto <br />B. <br />( ) Comprehensive Automobile Liability - <br />Owned Automobiles <br />( ) Non -Owned Automobiles <br />( ) Hired Automobiles <br />( ) Uninsured Motorist <br />C. HIG <br />( X ) Employer's Liability <br />D. <br />( ) Liquor Liability <br />Property Damage Liability <br />$1, 000, 000 each occurrence <br />$1,000,000 <br />$2, 000, 000 Prod./Comp. Ops. <br />aggregate <br />$1, 000, 000 Limit of Liability <br />Bodily Injury Liability <br />each person <br />each accident <br />Property Damage Liability <br />each accident <br />Bodily Injury and Property Damage <br />Liability Combined <br />each accident <br />each occurrence <br />59WECAC9055 07/03/20 TO 07/03/21 <br />$1, 000, 000 each accident* <br />$1, 000, 000 each employee by <br />disease* <br />$1, 000, 000 total policy by disease* <br />An "V marked in the box indicates the coverage is provided in the Underlying Policies. <br />(Note Maintenance of Underlying Insurance Condition SX 80 02 or SX 80 03) <br />*Except that in any jurisdiction where the amount of Employers Liability Coverage afforded by the underlying <br />insurer is by law unlimited, the limit stated does not apply and the policy of which this extension schedule <br />forms a part shall afford no insurance with respect to Employers Liability in such jurisdiction. <br />Form SX 80 04 10 08 <br />Process Date: 0 8 / 18 / 2 0 <br />J�N <br />RiskMmRgk:merdDMsian <br />REVIEWED & APPROVED BY. - <br />Policy Expiration Date: VI <br />--� Risk Pjanagement Analyst <br />
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