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Last modified
6/15/2022 10:09:25 AM
Creation date
2/14/2022 2:52:02 PM
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Template:
Contracts
Company Name
INSTRUMENT CONTROL SERVICES
Contract #
A-2022-009-03
Agency
Public Works
Council Approval Date
1/18/2022
Expiration Date
1/17/2025
Insurance Exp Date
9/23/2022
Destruction Year
2030
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />SCHEDULE OF CONTROLLING UNDERLYING <br />INSURANCE <br />This endorsement modifies insurance provided under the following: <br />ENVIRONMENTAL EXCESS LIABILITY POLICY <br />SCHEDULE <br />Coverage: Commercial General Liability, Contractor's Pollution Liability, Errors & Omissions Liability <br />Insurance Carrier: <br />Crum & Forster Specialty Insurance Company <br />Policy Number: <br />EPK-137097 <br />Policy Limits: <br />Per Occurrence Limit <br />$1,000,000 <br />Aggregate Limit <br />1$2,000,000 <br />Policy Period: <br />09/23/2021 to 09/23/2022 <br />Coverage: Automobile Liability <br />Insurance Carrier: <br />West American Insurance Company <br />Policy Number: <br />BAW (21) 57 61 29 29 <br />Policy Limits: <br />Combined Single Limit <br />j$1,000,000 <br />Policy Period: <br />10/20/2020 to 10/20/2021 <br />Coverage: Employers Liability <br />Insurance Carrier: <br />StarNet Insurance Company <br />Policy Number: <br />KEY0138780 <br />Policy Limits: <br />Policy Limits <br />j$1,000,000 <br />Policy Period: <br />05/01/2021 to 05/01/2022 <br />Per Item 5. of the Declarations, the policy or policies, shown in the above Schedule of this endorsement are the <br />"controlling underlying insurance" for this Environmental Excess Liability Policy. <br />This endorsement shall not serve to change or increase our Limits of Insurance as shown in the Declarations and as <br />described in Section IV. LIMIT OF LIABILITY. <br />All otherterms, conditions and exclusions under the policy remain unchanged. <br />EN0152-0714 <br />Rink Maugement Diuialan <br />Io ' rR� EwEo &pAvrxo/v'm Br.. <br />® Risk Management Analys[ <br />
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