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Last modified
7/1/2022 9:59:54 AM
Creation date
7/1/2022 9:56:48 AM
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Contracts
Company Name
MONUMENT
Contract #
A-2022-077-04
Agency
Public Works
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Insurance Exp Date
4/23/2023
Destruction Year
2030
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Monument ROW <br />COMMERCIAL GENERAL LIABILITY <br />6807P4562802242 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />XTEND ENDORSEMENT FOR SMALL BUSINESSES <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for <br />any injury, damage or medical expenses described in any of the provisions of this endorsement may be <br />excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions <br />do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a <br />general coverage description only. Read all the provisions of this endorsement and the rest of your policy <br />carefully to determine rights, duties, and what is and is not covered. <br />A. Who Is An Insured — Unnamed Subsidiaries <br />B. Who Is An Insured — Employees And Volunteer <br />Workers — Bodily Injury To Co -Employees And <br />Co -Volunteer Workers <br />C. Who Is An Insured — Newly Acquired Or <br />Formed Limited Liability Companies <br />D. Incidental Medical Malpractice <br />E. Blanket Waiver Of Subrogation <br />PROVISIONS b. An organization other than a partnership, joint <br />A. WHO IS AN INSURED — UNNAMED venture or limited liability company; or <br />SUBSIDIARIES c. A trust; <br />The following is added to SECTION II — WHO IS as indicated in its name or the documents that <br />AN INSURED: govern its structure. <br />Any of your subsidiaries, other than a partnership B. WHO IS AN INSURED — EMPLOYEES AND <br />or joint venture, that is not shown as a Named VOLUNTEER WORKERS — BODILY INJURY <br />Insured in the Declarations is a Named Insured TO CO -EMPLOYEES AND CO -VOLUNTEER <br />if: WORKERS <br />a. You are the sole owner of, or maintain an <br />ownership interest of more than 50% in, such <br />subsidiary on the first day of the policy <br />period; and <br />b. Such subsidiary is not an insured under <br />similar other insurance. <br />No such subsidiary is an insured for "bodily <br />injury" or "property damage" that occurred, or <br />"personal and advertising injury" caused by an <br />offense committed: <br />a. Before you maintained an ownership interest <br />of more than 50% in such subsidiary; or <br />b. After the date, if any, during the policy period <br />that you no longer maintain an ownership <br />The following is added to Paragraph 2.a.(1) of <br />SECTION II — WHO IS AN INSURED: <br />Paragraphs (1)(a), (b) and (c) above do not <br />apply to "bodily injury" to a co -"employee" while <br />in the course of the co -"employee's" employment <br />by you or performing duties related to the <br />conduct of your business, or to "bodily injury" to <br />your other "volunteer workers" while performing <br />duties related to the conduct of your business. <br />C. WHO IS AN INSURED — NEWLY ACQUIRED <br />OR FORMED LIMITED LIABILITY COMPANIES <br />1. The fallowing replaces the first sentence of <br />Paragraph 3. of SECTION II — WHO IS AN <br />INSURED: <br />interest of more than 50% in such subsidiary. Any organization you newly acquire or form, <br />For purposes of Paragraph 1. of Section II — Who other than a partnership or joint venture, and <br />Is An Insured, each such subsidiary will be of which you are the sole owner or in which <br />deemed to be designated in the Declarations as: you maintain an ownership interest of more <br />a. A limited liability company; /o11 <br />than 50%, will qualify as a Named Insured if <br />Rbkm .gaae,tmx <br />e iIRinEvvFa 6 APMQJ® Br. <br />7076v1CZ00H <br />CG D8 42 02 19 © 2018 The Travelers Indemnity Company. All rights reserved. '91MEW R6kN nay.�naA;miaae <br />Includes copyrighted material of Insurance Services Office, Inc., with its permissior or <br />67791179 2022 GL, HNO, OMB, WC, PL I Emily Jung 14/21/2022 7:06: 54 AM (POT) I Page 3 0£ B <br />This car ificate cancels and supersedes ALL previously issued certificates. <br />
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