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PLACEWORKS, INC. (9)
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Last modified
7/23/2024 12:06:17 PM
Creation date
4/8/2024 1:45:09 PM
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Contracts
Company Name
PLACEWORKS, INC.
Contract #
A-2023-194-04
Agency
Planning & Building
Council Approval Date
11/7/2023
Expiration Date
11/7/2028
Insurance Exp Date
7/1/2025
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Policy Number: BA-1N96406A-24-43-G <br />Effective Date: 07/01/2024 <br />COMMERCIAL AUTO <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BUSINESS AUTO EXTENSION ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any <br />injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or <br />limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to <br />the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- <br />age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- <br />dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. <br />A. BROAD FORM NAMED INSURED <br />B. BLANKET ADDITIONAL INSURED <br />C. EMPLOYEE HIRED AUTO <br />D. EMPLOYEES AS INSURED <br />E. SUPPLEMENTARY PAYMENTS — INCREASED <br />LIMITS <br />F. HIRED AUTO — LIMITED WORLDWIDE COV- <br />ERAGE — INDEMNITY BASIS <br />G. WAIVER OF DEDUCTIBLE — GLASS <br />PROVISIONS <br />A. BROAD FORM NAMED INSURED <br />The following is added to Paragraph A.1., Who Is <br />An Insured, of SECTION II — COVERED AUTOS <br />LIABILITY COVERAGE: <br />Any organization you newly acquire or form dur- <br />ing the policy period over which you maintain <br />50% or more ownership interest and that is not <br />separately insured for Business Auto Coverage. <br />Coverage under this provision is afforded only un- <br />til the 180th day after you acquire or form the or- <br />ganization or the end of the policy period, which- <br />ever is earlier. <br />B. BLANKET ADDITIONAL INSURED <br />The following is added to Paragraph c. in A.1., <br />Who Is An Insured, of SECTION II — COVERED <br />AUTOS LIABILITY COVERAGE: <br />Any person or organization who is required under <br />a written contract or agreement between you and <br />that person or organization, that is signed and <br />executed by you before the "bodily injury" or <br />"property damage" occurs and that is in effect <br />Burin the olic eriod to be named as an addi- <br />H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF <br />USE — INCREASED LIMIT <br />I. PHYSICAL DAMAGE — TRANSPORTATION <br />EXPENSES — INCREASED LIMIT <br />J. PERSONAL PROPERTY <br />K. AIRBAGS <br />L. NOTICE AND KNOWLEDGE OF ACCIDENT OR <br />LOSS <br />M. BLANKET WAIVER OF SUBROGATION <br />N. UNINTENTIONAL ERRORS OR OMISSIONS <br />this insurance applies and only to the extent that <br />person or organization qualifies as an "insured" <br />under the Who Is An Insured provision contained <br />in Section II. <br />C. EMPLOYEE HIRED AUTO <br />1. The following is added to Paragraph A.1., <br />Who Is An Insured, of SECTION II — COV- <br />ERED AUTOS LIABILITY COVERAGE: <br />An "employee" of yours is an "insured" while <br />operating an "auto" hired or rented under a <br />contract or agreement in an "employee's" <br />name, with your permission, while performing <br />duties related to the conduct of your busi- <br />ness. <br />2. The following replaces Paragraph b. in B.S., <br />Other Insurance, of SECTION IV — BUSI- <br />NESS AUTO CONDITIONS: <br />b. For Hired Auto Physical Damage Cover- <br />age, the following are deemed to be cov- <br />ered "autos" you own: <br />(1) Any covered "auto" you lease, hire, <br />rent or borrow; and <br />g p y p 1 (2) Any covered <br />tional insured is an "insured" for Covered Autos your "emplo RAMougementDiviaian <br />LiabilityCoverage, but only for dama es to which" - "`e <br />g y g an "employ REMEWED & APPROVED BY. <br />®� <br />A Aawa: <br />CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. �f Risk Management Specialist <br />Includes copyrighted material of Insurance Services Office, Inc. with its permission <br />
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