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Last modified
8/24/2022 10:52:44 AM
Creation date
4/22/2021 12:11:13 PM
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Contracts
Company Name
BACKHAUS DANCE
Contract #
N-2021-075
Agency
Parks, Recreation, & Community Services
Destruction Year
2026
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* S9 * 06/11/2021 * GLP 3961460 00 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CG 88 01 (Ed. 11/85) <br />FORMS AND ENDORSEMENTS SCHEDULE <br />It is hereby understood and agreed the following forms and endorsements are attached to and are a part of this policy: <br />Form and Edition <br />Date Added <br />or <br />Date Deleted <br />Form Description <br />1. <br />CG0001 04/13 <br />COMML GENERAL LIABILITY COVERAGE <br />2. <br />CG2106 05/14 <br />EXCLUSION -PERSONAL INFO & DATA-LIMI <br />3. <br />CG2147 12/07 <br />EMPLOYMENT RELATED PRACTICES EXCL <br />4. <br />CG2171 01/15 <br />LTD TERROR EXCL(O/T CERTIFIED)CAP L <br />5. <br />CG2176 01/15 <br />EXCL OF PUN DAMAGES RELATED TO TERR <br />6. <br />CG2426 04/13 <br />AMENDMENT OF INSURED CONTRACT DEFIN <br />7. <br />CG7400 07/01 <br />GENERAL LIABILITY DEC PAGE <br />8. <br />CG7794 07/98 <br />EXCL-LIABILITY ARISING OUT OF LEAD <br />9. <br />CG8282 12/09 <br />ABUSE & MOLESTATION <br />10. <br />CG8361 02/05 <br />SILICA OR DUST RELATED EXCL <br />11. <br />CG8366 06/05 <br />NUCLEAR, BIOLOGICAL, CHEMICAL EXCL <br />12. <br />CG8440 08/09 <br />COORDINATION OF LIMITS ENDORSEMENT <br />13. <br />CG8481 08/14 <br />EXCLUSION - ORGANIC PATHOGENS <br />14. <br />CG8565 01/12 <br />ABUSE OR MOLESTATION COVERAGE FORM <br />15. <br />CG8970 11/14 <br />SIGNATURE-GL-BROADNING ENDT <br />16. <br />CG9082 06/17 <br />EXCLUSION - PROFESSIONAL SERVICES <br />17. <br />CG9083 06/17 <br />ABUSE, MOL, HARASSMENT OR SEXUAL EX <br />18. <br />CG9169 02/20 <br />MEDICAL PAYMENTS AT YOUR REQUEST <br />* If not at inception <br />CG 88 01 (Ed. 11/85) (Page 1 of 1) <br />�oRaN <br />3 <br />RAMmWmentDMsian <br />REVIEWED & APPROVED BY.- <br />z <br />Risk Management Analyst <br />
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