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CLODIG,JOHN B. 1-2003
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CLODIG,JOHN B. 1-2003
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Entry Properties
Last modified
1/3/2012 3:10:20 PM
Creation date
4/10/2003 3:40:35 PM
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Template:
Contracts
Company Name
John B. Clodig, dba KeyMOVES
Contract #
N-2003-032
Agency
Personnel Services
Expiration Date
6/30/2004
Insurance Exp Date
4/9/2004
Destruction Year
2009
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12:09 FAX 760 728 5859 John B C1od16 ~003 <br /> <br />04/17/03 <br /> <br /> ENDORSEMENT <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NON-OWNED/HIRED AUTO LIABILITY <br /> <br />This endorsement, effective on 4/9/2003 forms a part ,of <br /> <br />Policy Number: 3CJ8801 Certificate Number: SSA03-0012 <br /> <br /> : <br />Issued To: KeyMoves Principl~ of Movement <br />By: Essex Insurance Company <br /> <br />This endorsement modifies insurance;.provided under the following: <br />COMMERCIAL GENERAL LIAi~iLITY COVERAGE PART <br /> <br /> SC.EDUL£ <br /> <br />COVERAGE <br /> <br />ADDITIONAL PREMIUM <br /> <br />Non-Owned / Hired Auto Liabiliry <br /> <br />NON-OWNED/H/RED AUTO LIABILITY <br /> <br />Coverage applics only to The City el'Santa <br />Ami a.~: limited by thc specific work <br />Pcrformcd under this certificate. No covcmgc <br />Aff0rdcd to certificate holder <br /> <br />The insurance provided under COVERAGE A (Section l) applies to "bodily injury" or "property damage" arising <br />out of the use of any "non-owned/hired auto" in your business by any person other than you. <br /> <br />With respect to the insurance provided by this endorsement: <br /> <br />The exclusion, under COVERAGE A (Section I), other than exclus,ons A. B, D, F and 1 are deleted and the <br />following exclusions are added: <br /> <br />I. "Bodily injury" <br /> <br /> (a) To an "employee" of the insured arising out ofandiin the course of employment by <br /> the <br /> /nsurcd; <br /> or <br /> <br /> (b) To thc spouse, child, parent, brother or sister of that "employee" as a consequence of paragraph (a) <br /> above. <br /> <br />injury. <br /> <br />This exclusion applies: <br /> <br />(a) Whether the insured may be liable as an employer ~r in any other capazity; and <br /> <br />(b) To any obligation to share damages with or repay spmcone else who must pay damages because of the <br /> <br />Page I of 2 <br /> <br />This exclusion does not apply to: <br /> <br />..... ,.ovED AS TO FORM <br /> <br />Dcpu[y City Attorney~ <br /> <br /> <br />
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