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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 />exception for liability resulting from the intoxication of any person because alcoholic beverages were permitted on your <br />premises, for consumption on your premises. <br />If the attachment of this endorsement replaces Endorsements CG 21 50 Amendment Of Liquor Liability Exclusion or <br />CG 21 51 Amendment Of Liquor Liability Exclusion - Exception For Scheduled Premises Or Activities, it may result in a <br />broadening of coverage. The attachment of this endorsement to a policy not containing endorsements CG 21 50 or CG <br />2151 results in a reduction of coverage. <br />ENDORSEMENTS THAT ONLY REFLECT A BROADENING IN COVERAGE <br />CG 20 39 Additional Insured - Owners, Lessees Or Contractors - Automatic Status When Required In Written <br />Construction Agreement With You (Completed Operations) <br />When this endorsement is attached to your policy, coverage is broadened to generally provide automatic additional <br />insured status with respect to completed operations to anyone you have performed operations for and has agreed in <br />writing in a contract or agreement that such person be added as an additional insured. <br />CG 20 40 Additional Insured - Owners, Lessees Or Contractors -Automatic Status For Other Parties When Required <br />In Written Construction Agreement (Completed Operations) <br />When this endorsement is attached to your policy, coverage is broadened to generally provide automatic additional <br />insured status with respect to completed operations to anyone you have performed operations for and have agreed in <br />writing in a contract or agreement that such person be added as an additional insured and anyone that the additional <br />insured is also required by a written contract or agreement to add as an additional insured. <br />CG 20 41 Additional Insured - Owners, Lessees Or Contractors - Completed Operations Subject To The General <br />Aggregate <br />When this endorsement is attached to your policy, coverage is broadened to generally provide an additional insured <br />with insured status for both Premises Operations and Products -Completed Operations and is designed for use with the <br />"Products -Completed Operations Included"/plus sign (+) classifications found in the ISO General Liability manual. <br />CG 20 42 Additional Insured - Automatic Status For Designated Operations <br />When this endorsement is attached to your policy, coverage is broadened to provide automatic additional insured status <br />in relation to a designated operation. <br />CG 20 43 Additional Insured - Automatic Status When Required In Written Contract Or Agreement <br />When this endorsement is attached to your policy, coverage is broadened to provide automatic additional insured status <br />when there is a written contract or agreement that such additional insured be added to the Policy. <br />CG 20 44 Additional Insured - Vendors - Automatic Status When Required In Agreement <br />When this endorsement is attached to your policy, coverage is broadened to generally provide additional insured status <br />to those persons or organizations for whom you are obligated in writing in a contract or agreement to name as an <br />additional insured under your policy with respect to distribution or sale of any of your products in the regular course of <br />the vendor's business. <br />CG 24 54 Automatic Insured Status For Newly Acquired Or Formed Limited Liability Companies <br />When this endorsement is attached to your policy, coverage is broadened to generally include limited liability companies <br />you newly acquire or form, and over which you maintain ownership or majority interest, if there is no other similar <br />insurance available to that limited liability company. <br />wro <br />thmn & Aer Rr: <br />© Includes copyrighted material of Insurance Services Office, Inc., wi _- <br />SDM-1040 (Ed. 12119) (Page 8 of 15) — R°"" "gien1°"�1gtle <br />
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