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BUCKNAM INFRASTRUCTURE GROUP, INC.
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Last modified
12/2/2021 4:11:11 PM
Creation date
12/2/2021 4:09:52 PM
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Contracts
Company Name
BUCKNAM INFRASTRUCTURE GROUP, INC.
Contract #
A-2021-211
Agency
Public Works
Council Approval Date
10/19/2021
Expiration Date
10/18/2023
Insurance Exp Date
9/16/2022
Destruction Year
2028
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Hanover <br />Insurance Group- <br />OBCA399956 1309570 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />A. Additional Insured by Contract, Agreement or <br />injury and advertising injury". <br />Permit <br />(2) To any person or organization included <br />The following is added to SECTION 11 . <br />as an insured by another endorsement <br />LIABILITY, C. Who Is An Insured: <br />issued by us and made part of this <br />Coverage Part. <br />Additional Insured by Contract, Agreement or <br />(3) To any lessor of equipment: <br />Permit <br />a. Any person or organization with whom you <br />(a) After the equipment lease expires; <br />agreed in a written contract, written <br />or <br />agreement or permit that such person or <br />(b) If the "bodily injury", "property <br />organization to add as an additional insured <br />damage", or "personal and <br />on your policy is an additional insured only <br />advertising injury" arises out of sole <br />with respect to liability for "bodily injury', <br />negligence of the lessor <br />"property damage", or "personal and <br />4 To an <br />() y <br />advertising injury" caused, in whole or in <br />art, b <br />p y your acts or omissions, or the acts <br />a Owners or other interests from <br />) <br />or omissions of those acting on your behalf, <br />whom land has been leased if the <br />"occurrence" <br />but only with respect to: <br />or offense takes lace <br />or the offense is committed after <br />(1) "Your work" for the additional insured(s) <br />the lease for the land expires; or <br />designated in the contract, agreement <br />or permit including "bodily injury" or <br />(b) Managers or lessors of premises if: <br />"property damage" included in the <br />(1) The "occurrence" takes place or <br />"products -completed operations hazard" <br />the offense is committed after <br />only if this Coverage Part provides such <br />you cease to be a tenant in that <br />coverage. <br />premises; or <br />(2) Premises you own, rent, lease or occupy; <br />(11) The "bodily injury", "property <br />or <br />damage", personal injury" or <br />(3) Your maintenance, operation or use of <br />"advertising injury" arises out of <br />equipment leased to you. <br />structural alterations, new <br />b. The insurance afforded to such additional <br />construction or demolition <br />operations performed by or on <br />insured described above: <br />behalf of the manager or lessor. <br />(1) Only applies to the extent permitted by <br />(5) To "bodily injury", "property damage" or <br />law; and <br />"personaland advertising injury"arising <br />(2) Will not be broader than the insurance <br />out of the rendering of or the failure to <br />which you are required by thecontract, <br />render any professional services. <br />agreement or permit to provide for such <br />This exclusion applies even if the claims <br />additional insured. <br />against any insured allege negligence <br />(3) Applies on a primary basis if that is <br />or other wrongdoing in the supervision, <br />required bythe written contract, written <br />hiring, employment, training or <br />agreement or permit. <br />monitoring of others by that insured, if <br />(4) Will not be broader than coverage <br />the "occurrence" which caused the <br />"bodily injury" or "property damage" or <br />provided to any other insured. <br />the offense which caused the "personal <br />(5) Does not apply if the "bodily injury", <br />and advertising injury" involved the <br />"propertydamage" or "personal and <br />rendering of or failure to render any <br />advertising injury" is otherwise <br />professional services by or for you. <br />excluded from coverage under this <br />Coverage Part, including any <br />d. With respect to the insurance afforded to <br />endorsements thereto. <br />these additional insureds, the following is <br />added to SECTION 11 - LIABILITY, D. Liability <br />c. This provision does not apply: <br />and Medical Expense Limits of Insurance: <br />(1) Unless the written contract or written <br />The most we will p- - — -- <br />agreement was executed or permit was <br />additional insured for <br />issued prior to the "bodily injury", <br />"property damage", or "personal"u <br />lesser of the amount cox <br />�xax rw„s�. aa;vi a ne <br />391-1586 0816 Includes copyrighted material of Insurance Services Offices, Inc., with its permi_ �. <br />
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