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PSOMAS (4)
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Last modified
5/12/2025 9:50:59 AM
Creation date
6/13/2023 7:59:00 AM
Metadata
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Template:
Contracts
Company Name
PSOMAS
Contract #
A-2023-075-07
Agency
Public Works
Council Approval Date
5/2/2023
Expiration Date
5/1/2026
Insurance Exp Date
4/1/2026
Destruction Year
2031
Notes
For Insurance Exp. Date see Notice of Compliance
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POLICY NUMBER: 526-82-12 COMMERCIAL GENERAL LIABILITY <br /> CG 20 11 12 19 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR <br /> LESSORS OF PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Designation Of Premises (Part Leased To You): <br /> ANY PREMISES OR PART THEREOF LEASED TO YOU. <br /> Name Of Person(s) Or Organization(s) (Additional Insured): <br /> ANY PERSON OR ORGANIZATION FROM WHOM YOU LEASE PREMISES OR WHO MANAGES <br /> PREMISES YOU OWN AND TO WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN <br /> ADDITIONAL INSURED UNDER THIS POLICY AS A RESULT OF ANY LEASE OR <br /> MANAGEMENT AGREEMENT YOU ENTER INTO WITH SUCH PARTIES. <br /> Additional Premium: $ 0 <br /> Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br /> A. Section II — Who Is An Insured is amended to acting on your behalf in connection with the <br /> include as an additional insured the person(s) or ownership, maintenance or use of that part of <br /> organization(s) shown in the Schedule, but only the premises leased to you and shown in the <br /> with respect to liability for "bodily injury", Schedule and subject to the following additional <br /> "property damage" or "personal and advertising exclusions: <br /> injury" caused, in whole or in part, by you or <br /> those <br /> CG 20 11 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 2 <br />
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