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KAISER FOUNDATION HEALTH PLAN, INC.
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Last modified
3/19/2024 3:17:32 PM
Creation date
3/19/2024 3:15:41 PM
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Contracts
Company Name
KAISER FOUNDATION HEALTH PLAN, INC.
Contract #
N-2024-099
Agency
Human Resources
Expiration Date
3/22/2024
Insurance Exp Date
1/1/2025
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POLICY NUMBER: GL 4048017 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED- OWNERS, LESSEES OR <br />CONTRACTORS -COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Or anization s <br />Locadon And Description OfCompleted Operations <br />As required by written contract or <br />All locations of Insured's Operations <br />agreement when such written contract or <br />agreement is executed prior to an <br />occurrence, offense or loss to which <br />this endorsement applies, but only for <br />the limits agreed to in such contract or <br />the Limits of Liability provided by this <br />policy, whichever is less. Any <br />individually scheduled additional <br />insureds shall not be construed to <br />override nor negate this blanket <br />additional insured. <br />Information re uired to complete this Schedule if not shown above will be shown in the Declarations. <br />A. Section 11 — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury" or <br />"property damage" caused, inwholeorin part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and included <br />in the "products -completed operations hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B. With respect to the insurance afforded to these <br />additicnal insureds, the following is added to <br />Section III — Llmlts Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />All pay on behalf of the additional insured is the <br />amount ofinsurance: <br />1. Required by the contractor agreement; or <br />2. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable Limits of Insurance shown in the <br />Declarations. <br />71 <br />amk tw�Or. <br />� aEwsnvrawPRov ®av: <br />A� Aaw�eta <br />® Risk Management Speaaht <br />CG 20 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 <br />
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