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PATRIOT ENVIRONMENTAL SERVICES (2)
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Last modified
8/19/2024 2:31:40 PM
Creation date
10/3/2022 3:42:06 PM
Metadata
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Template:
Contracts
Company Name
PATRIOT ENVIRONMENTAL SERVICES
Contract #
N-2019-194-01
Agency
Public Works
Expiration Date
9/24/2024
Insurance Exp Date
6/1/2024
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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Additional Insured -Automatic -Owners, Lessees Or 0 <br />„h, <br />Contractors ZURICH <br />Coverage Part One -Commercial General Liability <br />Coverage Part Twwo-Contractor's Pollution Liability <br />Policy No. <br />Eff. Date of Pol. <br />Exp. Date of Pol. <br />Eff. Date of End. <br />Producer Add1 Prem. Return Prom. <br />GPL 6024753-01 111/01/2021 <br />11/01/2022 <br />11/01/2021 <br />18726000 __________ __________ <br />Named Insured and Mailing Address: Producer: <br />PATRIOT ENVIRONMENTAL SERVICES, INC. ARTHUR J GALLAGHER RISK MANAGEMENT <br />508 E E ST STE A SERVICES INC <br />WILMINGTON, CA 90744-6024 2345 GRAND BLVD STE 400 <br />KANSAS CITY, MO 64108-2625 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />Environmental Services Package Policy <br />COVERAGE PART ONE -COMMERCIAL GENERAL LIABILITY <br />❑X COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY <br />1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional <br />insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a <br />written contract or written agreement. <br />2. The insurance provided to the additional insured person(s) or organization(s) applies only to: <br />a. "Bodily injury", "property damage" or "personal and advertising injury" under COVERAGE PART ONE - <br />COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY <br />and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by: <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting on your behalf; <br />and resulting directly from: <br />(a) Your ongoing operations performed for the additional insured, which is the subject of the written contract <br />or written agreement; or <br />(b) "Your work" completed as included in the "products -completed operations hazard", performed for the <br />additional insured, which is the subject of the written contract or written agreement; and/or <br />b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION <br />LIABILITY, caused, in whole or in part, by: <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting on your behalf, <br />and resulting directly from: <br />(a) "Covered operations" performed for the additional insured, which is the subject of the written contract or <br />written agreement; or <br />-- Riek Mn%wnmt DMsiun <br />a RE+AEWEE) & AAPRovm 8Y: <br />Risk. Management Specialist <br />
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