Laserfiche WebLink
Additional Insured — Lessor of Leased Equipment - ZURICH <br />Automatic Status When Required in a Lease <br />Agreement With You <br />Coverage Part One — Commercial General Liability <br />Coverage Part Two — Contractor's Pollution Liability <br />Policy Na. <br />Eff. Date of Pol. <br />Exp. Date of Pol. <br />Eff. Date of End. <br />Producer Add'I Prem, Return Prem. <br />GPL 6024753-01 <br />11/01/2021 <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 />[ X ] COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY <br />COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY <br />In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the <br />Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to <br />the coverage parts indicated above: <br />1. Who is an Insured (Section I.) in the COMMON POLICY PROVISIONS is amended to include as an insured any <br />person or organization from whom you lease equipment when you and such person or organization have agreed in <br />writing in a contract or agreement that such person or organization be added as an additional insured on your policy. <br />Such person or organization is an insured only with respect to their liability arising out of the maintenance, operation <br />or use by you of equipment leased to you by such person or organization. <br />A person's or organization's status as an insured under the endorsement ends when their contract or agreement with <br />you for such leased equipment ends. <br />2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any <br />"occurrence" which takes place after the equipment lease expires. <br />ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. <br />_-_Rime Muisigment DKis[m <br />L . `a,+ REMBNMhh& APPRovm BY: <br />Risk Management Specialist <br />