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PSOMAS (10)
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Last modified
10/9/2024 4:10:53 PM
Creation date
11/16/2023 8:57:05 AM
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Contracts
Company Name
PSOMAS
Contract #
A-2020-241-34-02
Agency
Planning & Building
Council Approval Date
12/1/2020
Insurance Exp Date
4/1/2025
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ENDORSEMENT <br />This endorsement, effective 12:01 A.M. 04/01/2024 <br />forms a part of Policy No. CA4489706 <br />issued to Psomas <br />by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. <br />ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />SCHEDULE <br />ADDITIONAL INSURED: <br />ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE <br />ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON'S ORD <br />ORGANIZATION'S LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO". <br />I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is <br />amended to add: <br />d. Any person or organization, shown in the schedule above, to whom you become obligated <br />to include as an additional insured under this policy, as a result of any contract or agreement <br />you enter into which requires you to furnish insurance to that person or organization of the <br />type provided by this policy, but only with respect to liability arising out of use of a covered <br />"auto". However, the insurance provided will not exceed the lesser of: <br />(1) The coverage and/or limits of this policy, or <br />(2) The coverage and/or limits required by said contract or agreement. <br />AUTHORIZED REPRESENTATIVE <br />Risk Muoganent Division <br />tt REVIEWED & APPROVED BY: <br />-- Risk Management Specialist <br />87950 (9/14) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 <br />
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