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W.A. RASIC CONSTRUCTION COMPANY, INC. (3)
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W.A. RASIC CONSTRUCTION COMPANY, INC. (3)
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Last modified
7/29/2024 11:11:08 AM
Creation date
7/29/2024 11:10:05 AM
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Contracts
Company Name
W.A. RASIC CONSTRUCTION COMPANY, INC.
Contract #
A-2021-132-01A
Agency
Public Works
Council Approval Date
7/20/2021
Expiration Date
7/19/2026
Insurance Exp Date
5/1/2025
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POLICY NUMBER: DT22- CO- 8670x247-TCT-24 COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS <br />IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />The following is added to SECTION II —WHO IS AN <br />INSURED: <br />Any person or organization that: <br />a. You agree in a written contract or agreement to <br />include as an additional insured on this Coverage <br />Part; and <br />b. Has not been added as an additional insured for <br />the same project by attachment of an endorse- <br />ment under this Coverage Part which includes <br />such person or organization in the endorsement's <br />schedule; <br />is an insured, but: <br />a. Only with respect to liability for "bodily injury" or <br />"property damage" that occurs, or for "personal <br />injury" caused by an offense that is committed, <br />subsequent to the signing of that contract or <br />agreement and while that part of the contract or <br />agreement is in effect; and <br />b. Only as described in Paragraph (1), (2) or (3) be- <br />low, whichever applies: <br />(1) If the written contract or agreement specifical- <br />ly requires you to provide additional insured <br />coverage to that person or organization by <br />the use of: <br />(a) The Additional Insured — Owners, Les- <br />sees or Contractors — (Form B) endorse- <br />ment CG 20 1011 85; or <br />(b) Either or both of the following: the Addi- <br />tional Insured — Owners, Lessees or Con- <br />tractors — Scheduled Person Or Organi- <br />zation endorsement CG 20 10 10 01, or <br />the Additional Insured —Owners, Lessees <br />or Contractors — Completed Operations <br />endorsement CG 20 3710 01; <br />the person or organization is an additional in- <br />sured only if the injury or damage arises out <br />of "your work" to which the written contract or <br />agreement applies; <br />(2) If the written contract or agreement specifical- <br />ly requires you to provide additional insured <br />coverage to that person or organization by <br />the use of: <br />(a) The Additional Insured — Owners, Les- <br />sees or Contractors — Scheduled Person <br />or Organization endorsement CG 20 10 <br />07 04 or CG 20 10 04 13, the Additional <br />Insured — Owners, Lessees or Contrac- <br />tors — Completed Operations endorse- <br />ment CG 20 37 07 04 or CG 20 37 04 13, <br />or both of such endorsements with either <br />of those edition dates; or <br />(b) Either or both of the following: the Addi- <br />tional Insured — Owners, Lessees or Con- <br />tractors — Scheduled Person Or Organi- <br />zation endorsement CG 20 10, or the Ad- <br />ditional Insured — Owners, Lessees or <br />Contractors — Completed Operations en- <br />dorsement CG 20 37, without an edition <br />date of such endorsement specified; <br />the person or organization is an additional in- <br />sured only if the injury or damage is caused, <br />in whole or in part, by acts or omissions of <br />you or your subcontractor in the performance <br />of "your work" to which the written contract or <br />agreement applies; or <br />(3) If neither Paragraph (1) nor (2) above applies: <br />(a) The person or organization is an addi- <br />tional insured only if, and to the extent <br />that, the injury or damage is caused by <br />acts or omissions of you or your subcon- <br />tractor in the performance of "your work" <br />to which the written contract or agree- <br />ment applies; and <br />(b) Such person or organization does not <br />qualify as an additional insured with re- <br />spect to the independent acts or omis- <br />sions of such person or organization. <br />The insurance provided to such additional insured is <br />subject to the following provisions: <br />a. <br />If the Limits of Insurance of this Coverage Part <br />shown in the Declarations exceed the minimum <br />limits required by the written contract or agree- <br />ment, the insurance provided to the additional in- <br />sured will be limited to s ^� <br />limits. For the purposes i <br />CG D6 04 02 19 0 2017 The Travelers Indemnity Company. All rights reserved. <br />•' SY.' aEVIEwEoAPPROVM <br />�- <br />A4 fe Auvalo <br />® <br />Risk Managemen[spedali5t <br />
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