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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 />CG 20 01 Primary And Noncontributory —Other Insurance Condition..................................................................13 <br />CG 20 03 Additional Insured — Concessionaires Trading Under Your Name. ..... ....................................... .......... <br />13 <br />CG 20 05 Additional Insured — Controlling Interest....................................... ................................................... <br />13 <br />CG 20 07 Additional Insured — Engineers, Architects Or Surveyors....................................................................13 <br />CG 2010 Additional I nsured — Owners, Lessees Or Contractors — Scheduled Person Or Organization <br />CG 2011 Additional Insured — Managers Or Lessors Of Premises....................................................................13 <br />CG 20 12 Additional Insured — State Or Governmental Agency Or Subdivision Or Political Subdivision — Permits <br />Or <br />Authorizations.......................................................................................................................................13 <br />CG 20 13 Additional Insured — State Or Governmental Agency Or Subdivision Or Political Subdivision — Permits <br />Or <br />Authorizations Relating To Premises..........................................................................................................14 <br />CG 2015 Additional Insured — Vendors.......................................................................................................14 <br />CG 2018 Additional Insured — Mortgagee, Assignee Or Receiver.....................................................................14 <br />CG 20 23 Additional Insured — Executors, Administrators, Trustees Or Beneficiaries.............................................14 <br />CG 20 24 Additional Insured —Owners Or Other Interests From Whom Land Has Been Leased..............................14 <br />CG 20 26 Additional Insured — Designated Person Or Organization...................................................................14 <br />CG 20 27 Additional Insured —Co-owner Of Insured Premises..........................................................................14 <br />CG 20 28 Additional Insured — Lessor Of Leased Equipment. . .............................................. ........................... <br />14 <br />CG 20 29 Additional Insured — Grantor Of Franchise........................................................................ .............14 <br />CG 20 30 Oil Or Gas Operations— Nonoperating, Working Interests..................................................................14 <br />CG 20 31 Additional Insured — Engineers, Architects Or Surveyors....................................................................14 <br />CG 20 32 Additional Insured — Engineers, Architects Or Surveyors Not Engaged By The Named Insured...................14 <br />CG 20 33 Additional Insured — Owners, Lessees Or Contractors —Automatic Status When Required In <br />Construction Agreement With You... .......................................................................................................14 <br />CG 20 34 Additional Insured— Lessor Of Leased Equipment —Automatic Status When Required In Lease <br />AgreementWith You...............................................................................................................................14 <br />CG 20 35 Additional Insured —Grantor Of Licenses —Automatic Status When Required By Licensor ..........................14 <br />CG 20 36 Additional Insured — Grantor Of Licenses........................................................................................14 <br />CG 20 37 Additional Insured— Owners, Lessees Or Contractors —Completed Operations.......................................14 <br />CG 20 38 Additional Insured — Owners, Lessees Or Contractors —Automatic Status For Other Parties When <br />Required In Written Construction Agreement................................................................................................14 <br />wd�nuo <br />. RENE14m6AfPROVm OI: <br />© Includes copyrighted material of Insurance Services Office, Inc., v✓i <br />SDM-1040 (Ed. 12/19) (Page 3 of 15) <br />F.flM1 ....en,nrt Clmeal Aitle <br />
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