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CONCENTRA MEDICAL CENTER dba OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA (2)
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CONCENTRA MEDICAL CENTER dba OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA (2)
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Last modified
8/19/2024 3:37:15 PM
Creation date
1/12/2022 11:10:47 AM
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Contracts
Company Name
CONCENTRA MEDICAL CENTER dba OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA
Contract #
A-2019-006-01
Agency
Human Resources
Council Approval Date
1/15/2019
Expiration Date
1/30/2023
Insurance Exp Date
4/1/2025
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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POLICY NUMBER: HAZ 4032244581-5 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s): <br />ANY PERSON OR ORGANIZATION TO WHOM OR TO WHICH YOU ARE REQUIRED TO PROVIDE ADDITIONAL <br />INSURED STATUS IN A WRITTEN CONTRACT OR AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE <br />SUCH CONTRACT OR AGREEMENT IS PROHIBITED BY LAW. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", 'property <br />damage" or 'personal and advertising injury" <br />caused, in whole or in part, by your acts or <br />omissions or the acts or omissions of those acting <br />on your behalf: <br />1. In the performance of your ongoing operations; <br />or <br />2. In connection with your premises owned by or <br />rented to you. <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a c ontract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable Limits of Insurance shown in the <br />Declarations. <br />CG 20 26 04 13 © Insurance Services Office, Inc., 2012 <br />Risk MmiPgemat Divuton <br />REMEWED&APPROVED BY: <br />�� <br />Risk Managem MAnalyst �'' <br />
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