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Last modified
6/13/2022 1:36:52 PM
Creation date
6/13/2022 1:32:03 PM
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Contracts
Company Name
BACKHAUSDANCE
Contract #
A-2022-069-03
Agency
Parks, Recreation, & Community Services
Council Approval Date
5/3/2022
Expiration Date
6/30/2023
Insurance Exp Date
6/3/2023
Destruction Year
2028
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S9 * 04/11/2022 * GLP 3961460 01 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />2019 GENERAL LIABILITY MULTISTATE ENDORSEMENT REVISION — COMMERCIAL <br />GENERAL LIABILITY ADVISORY NOTICE TO POLICYHOLDERS <br />This is a summary of the potential changes in your policy. No coverage is provided by this summary nor can it be construed <br />to replace any provision of your policy. You should read your policy and review your Declarations page for complete <br />information on the coverages you are provided. If there is any conflict between the policy and this summary, THE <br />PROVISIONS OF THE POLICY SHALL PREVAIL. <br />The major areas within the policy that broaden or reduce coverage, and other changes, are highlighted below. This notice <br />does not reference every editorial change made in your policy. Carefully read your policy, including the endorsements <br />attached to your policy. <br />Please note that not all the forms listed below may be on your policy. <br />This Notice provides information concerning the following new and revised endorsements, which applies to your renewal <br />policy being issued by us: <br />ENDORSEMENTS WITH EITHER BROADENINGS OR REDUCTIONS IN COVERAGE............................................5 <br />CG 04 71 Electronic Data Liability — Limited Bodily Injury Exception Not Included..................................................5 <br />CG 04 72 Electronic Data Liability Coverage (Coverage A) With Access Or Disclosure Of Confidential Or <br />Personal Information Exclusion (Coverage B)...............................................................................................5 <br />CG 2017 Additional Insured — Unit -owners Of Townhouse Or Homeowner Associations..........................................6 <br />CG 2131 Limited Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance Program ..............6 <br />CG 2154 Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance Program. ....... -----.6 <br />CG 22 36 Exclusion — Limited Products And Professional Services— Pharmacists..................................................6 <br />CG22 69 Pharmacists..............................................................................................................................6 <br />CG 23 02 Exclusion — Professional Services— Pharmacists................................................................................7 <br />CG 23 03 Exclusion — Professional Services —Optical And Hearing Aid Establishments............................................7 <br />CG 40 07 Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance Program — <br />Limited Exception For Additional Insureds......................................................................................................7 <br />CG 40 08 Limited Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance <br />Program — Limited Exception For Additional Insureds........................................................................................7 <br />CG 40 09 Amendment Of Liquor Liability Exclusion — Limited Exception For Bring Your Own Alcohol ..........................7 <br />ENDORSEMENTS THAT ONLY REFLECT A BROADENING IN COVERAGE..........................................................8 <br />CG 20 39 Additional Insured — Owners, Lessees Or Contractors —Automatic Status When Required In <br />Written Construction Agreement With You (Completed Operations).....................................................................8 <br />CG 20 40 Additional Insured — Owners, Lessees Or Contractors — Automatic Status For Oth <br />Required In Written Construction Agreement (Completed Operations) .............................. <br />i I�NEY/ED6/1PPMT�ID BY: <br />%il �%ievJOK <br />© Includes copyrighted material of Insurance Services Office, Inc., with its pt <br />SDM-1040 (Ed. 12/19) (Page 1 of 15) <br />
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