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EVERGREEN SOLUTIONS, LLC
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EVERGREEN SOLUTIONS, LLC
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Last modified
10/15/2024 10:22:18 AM
Creation date
10/15/2024 10:21:20 AM
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Contracts
Company Name
EVERGREEN SOLUTIONS, LLC
Contract #
A-2024-150
Agency
Human Resources
Council Approval Date
10/1/2024
Expiration Date
9/30/2025
Insurance Exp Date
8/17/2025
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED BY CONTRACT <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> GARAGE COVERAGE FORM <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indi- <br /> cated below. <br /> Endorsement Effective: Policy Number: <br /> 08-17-2024 EBA 058 66 01 <br /> Named Insured: <br /> EVERGREEN SOLUTIONS LLC <br /> Countersigned by: <br /> (Authorized Representative) <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br /> modified by the endorsement. <br /> SECTION II -LIABILITY COVERAGE, A. Coverage, I. Who is an Insured is amended to include as an in- <br /> sured any person or organization for whom you have agreed in a valid written contract to provide insurance as <br /> afforded by this policy. <br /> This provision is limited to the scope of the valid written contract. <br /> This provision does not apply unless the valid written contract has been executed prior to the "bodily injury" or <br /> "property damage". <br /> I <br /> r Risk Ma gententDivisfan <br /> REVIEWED&APPROVED BY: <br /> ld' 1644 til aiii2 s <br /> � i <br /> Risk Management Specialist <br /> AA 4171 06 20 <br />
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