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ALLIED UNIVERSAL JANITORIAL (5)
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ALLIED UNIVERSAL JANITORIAL (5)
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Last modified
1/19/2023 1:43:24 PM
Creation date
7/20/2022 11:43:54 AM
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Template:
Contracts
Company Name
ALLIED UNIVERSAL JANITORIAL
Contract #
A-2019-190-04
Agency
Public Works
Expiration Date
12/31/2022
Destruction Year
2027
Notes
For Insurance Exp. Date see Notice of Compliance
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POLICY NUMBER: RAD943781805 <br />XIC 414 1013 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />AUTO DEALERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified <br />by the endorsement. <br />Schedule <br />Additional Insureds <br />Work <br />Any person or organization you have agreed to <br />All Operations <br />include as an additional insured under written contract, provided <br />such contract was executed prior to the date of loss. <br />COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" the person <br />or organization listed in the Schedule above, but only with respect to liability for "bodily injury" or "property damage" <br />otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: <br />1. You, while using a covered "auto"; or <br />2. Any other person, except the additional insured or any employee or agent of the additional insured, <br />operating a covered "auto" with your permission; <br />in the performance of your work as described in the Schedule above. <br />In no event shall any person or organization listed in the Schedule become an "insured" pursuant to this <br />Endorsement if such person or organization is solely negligent. <br />IT IS FURTHER AGREED THAT IN NO EVENT SHALL ANY CONTRACT OR AGREEMENT ALTER THE <br />CONDITIONS, COVERAGES OR EXCLUSIONS SET FORTH IN THIS POLICY. <br />All other terms and conditions of this policy remain unchanged. <br />XIC 414 1013 © 2013 X.L. America, Inc. All Rights Reserved. Reknt�.gwwto ;, <br />VHAR 02/01/2021 May not be copied without permission. z REVIEWED&APPR EDBr. <br />Includes copyrighted material of Insurance Services Office, Inc., with its permis °�, , <br />Risk Management Analyst <br />
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