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CLINICAL LABORATORY OF SAN BERNARDINO 1 - 2003
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CLINICAL LABORATORY OF SAN BERNARDINO 1 - 2003
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Last modified
1/3/2012 3:10:15 PM
Creation date
2/18/2004 2:23:13 PM
Metadata
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Contracts
Company Name
Clinical Laboratory of San Bernardino
Contract #
A-2003-239
Agency
Public Works
Council Approval Date
12/1/2003
Expiration Date
12/31/2005
Insurance Exp Date
2/1/2009
Destruction Year
2010
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<br />From: Vicki Fagan, CISR At: Andreini & Company FaxlD: 650-378-4361 To: Attn Jerry Feffries <br /> <br />,A~~ 07,07 09:368 <br /> <br />Pub 1 i c Works <br /> <br />.' <br /> <br />C"NA <br /> <br />Date: 8/1312007 11:37 AM Page: 5 of 9 <br /> <br />7146473345 <br /> <br />G.17S57-G99 <br />(Ed,10/01) <br /> <br />IMPORTANT: THIS ENDORSEMENT CONTAINS OUT/Po:,; '(I-fAT APPLY TO THE ADDITIONAL <br />INSURED IN THE EVENT OF OCCURRENCE, OFFI::NSI:, ':LAlM OR SUIT. SEE PARAGRAPH <br />C.t. OF THIS ENDORSEMENT FOR THESE DUTIES, <br />ALSO, THIS ENDORSEMENT CHANGES THE CONTR,I,e tUAl LIABILITY COVERAGE WITH <br />RESPECTS TO THE "BODILY INJURY" OR .PROPERTY I)AMAGE" ARISING OUT OF THE <br />"PRODUCTS-COMPLETED OPERATIONS HAZAI~D." f,;"e PARAGRAPH B.3.. OF THIS <br />ENDORSEMENT FOR THIS COVERAGE CHANGE. <br />THIS ENDORSEME:NT CHANGES THE POUGY. 1'1. E,\SE READ IT CAREFULLY. <br /> <br />CONTRACTOR'S SCHEDULED AND BI.AJ~IKI:r ADDITIONAL INSURED <br />ENDORSEMENT WITH LIMITED PRODUl;n;- C:OMPLETED OPERATIONS <br />COVERAm:; <br /> <br />This endor,*,mant modUles insuranes provided under lhe followin[l: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PAR, <br /> <br />SCHEDULE <br />Name of PerSIlII Dr Orgini2atian, 0."111/' Iuad Pro/eel: <br /> <br />(CoVllJ'llge under Ihls endorsement is notaffecled by an entry,~ '",:/.<e,I!lll1ry In Illo Scheduleabova.) <br /> <br />m A. <br />i <br />m <br />~ <br />~ <br />I <br />Ii <br />i <br />. <br />= <br />.. <br />;;;; <br />at S. <br />'" <br />~ <br />iii <br />~ <br />!i <br />;; <br />.. <br />i. <br />- <br /> <br />WHO IS AN INSURED (SecIIon II) is amended to <br />inclUde as an Insured any poraon or organization, <br />including any person or organization shown In the <br />schedule above, (callad acfdlUonallnsuradj whom you <br />ara required 10 add lIS an eddlllonallnsured on thl, <br />policy under a wrlllen contract or written egreemen~ <br />but the wrlllen contract orwril1en agreement musl be; <br />1. Ourrantly In effect or becOming 'affective during the <br />lerrn of this policy; and <br />2, Executed prior 10 the "bodily injury; 'proparty <br />damage," or 'psrBonaland adVarllslng InjUlY," <br />The inslJ/ance provided to the additional insurad is <br />IIm~ed lIS faDows: <br />1. That. pelBDn or or9llnizetion Is an additional <br />insured safely for liabUlly due 10 your negligence <br />IlIld speclfically resuJiing !rom "your work" lor the <br />addtllonal insured wIllch is the robJact 01 the <br />writtan conlra~1 or wriffan agrsement. No <br />coverage applies to liability resulting trom the sole <br />negligence 01 1I1e addltlDnal insured, <br />2, The Umfls of Insuranoe applicable 10 me <br />addillonel Insured are those specified In tha <br />written oonl",cl or Writlen agreemsnt or intha <br /> <br />G-17!l57 -G99 <br />rEd. 10101\ <br /> <br />~O.d <br /> <br />9L;lL LOOl 6 ~nw <br />51,9 LP9 VII <br /> <br />VOO .d <br /> <br /> <br />J.:I~ratlons of this polley, whichever is lass, <br />IIi"M Umfts of Insumnm are Inclusive of, and nol <br />n Hcdltion to, the Limits ollnsurancs shown in tha <br />D. :laralla"s, <br /> <br />3. 'fiB covemge provIded 10 lhe additional Insured <br />il!' this endorsement and paragraph f. of 1I1e <br />:1'1' Ir IlIon of 'inslJJ9d contraot" under <br />oe FiNITlONS (SecIEan V) do not apply 10 "bodily <br />Ini"rl" or'''property damage' arisIng oul oflhe <br />'~r ,iiuc!s-compISlIKl oPlllallons hSZ!llll" unless <br />reo ulred by the wrl/tan _tract or written <br />"i)"BOment, Whan coverage does apply 10 "bodily . <br />Inlllr I" or "property damage" arising out 01 Ihe <br />'~fltlucts-complellld oparations hazard" such <br />Cl)' 'Hage wRl not apply beYOnd: <br /> <br />a "The pariod of time raqUlred by the written <br />,onlrect or wrftIen agreement: or <br /> <br />n., 5 years irom 11>9 compJellon 01 'your work' on <br />!he project which Is /he sUbjecl ollha writtan <br />,ontract or written a9'eemen~ <br /> <br />~^ t ir 119ver is less. <br /> <br />4. Tn a In5~rance prolllded to the acfdlllonel ineured <br />.;I)~, not apply 10 "bodilY In/ury: "Property <br /> <br />Page 1 012 <br /> <br />SLS9-L~9-VLL:xa, AIIV AIIJ WNW WINVS <br />01 : II (nHlll.OO~-60-gnH a.! J/a~9n 'M <br /> <br />",4 <br /> <br />;;s <br />~ <br />o <br />r.r.. <br />o <br />f-; <br />~ 1 <br />~~ <br /> <br />~ <br /> <br />>. <br />" <br />.gE <br />" 0 <br />") :::: <br />~< <br />- >. <br />- ~ <br />~u <br />" ~ <br />... '" <br />~ f9 <br />G <ZI <br />I .~ <br />- .J <br /> <br />
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