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WEST COAST ARBORISTS 1 -2004
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WEST COAST ARBORISTS 1 -2004
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Last modified
6/25/2014 10:26:27 AM
Creation date
12/13/2004 1:41:16 PM
Metadata
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Template:
Contracts
Company Name
West Coast Arborists
Contract #
A-2004-116
Agency
Public Works
Council Approval Date
6/21/2004
Expiration Date
6/30/2009
Insurance Exp Date
7/1/2012
Destruction Year
2014
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BLANKET ADDITIONAL INSURED <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />SECTION II -WHO IS AN INSURED is amended to include as an insured any person or organization Eor whom you have <br />agreed in writing to provide liability insurance. But: <br />The insurance provided by this amendment: <br />1. Applies only to "bodily injury" or "property damage" arising out of (a) "your work" or (b) premises ox other property owned <br />by ox rented to you; <br />2. Applies only to coverage and minimum limits of insurance required by the written agreement, but in no event exceeds either <br />the scope of coverage or the limits of insurance provided by this policy; and <br />3. Does not apply to any person or organization for whom you have procured separate liability insurance while such insurance is <br />in effect, regardless of whether the scope of coverage or limits of insurance of this policy exceed those of such other insux ance <br />or whether such other insurance is valid and collectible. <br />The following provisions also apply: <br />1. Where the applicable written agreement requires the insured to provide liability insurance on a primary, excess, contingent, or <br />any other basis, this policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of <br />SECTION IV of this policy will not apply. <br />2. Where the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item <br />4. Other Insurance of SECTION IV of this policy will govern. <br />3 This endorsement shall not apply to any person or organization for any "bodily injury" or "property damage" iF any other <br />additional insured endorsement on this policy applies [o that person or organization with regard to the "bodily injury" or <br />"property damage ". <br />4. If any other additional insured endorsement applies to any person ox organization and you are obligated under a written <br />agreement to provide liability insurance on a primary, excess, contingent, ox any other basis For that additional insured, this <br />policy will apply solely on the basis required by such written agreement and Item 4. Other Insurance of SECTION IV of this <br />policy will not apply, regardless of whether the person or organization has avaIlable other valid and collectible insurance. IF <br />the applicable written agreement does not specify on what basis the liability insurance will apply, the provisions of Item 4. <br />Other Insurance of SECTION IV of this policy will govern. <br />'Phis endorsement is executed by the LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />Premium $ <br />Effective Date 07/ 01/ 201 1 Expiration Dale 07/ 01/ 2012 <br />For attachment to Policy No. TB2- 661 - 039499 -01 1 <br />Audit Basis <br />Issued To West Coast Arborists [nc <br />Iss-ucd <br />LN 20 01 06 OS <br />SF.CRF'.1'ARY •� PRLSllJ t:N1 <br />Countersigrted by <br />Authorized Represen[anve <br />Sales OfFice and No. <br />End. Serial No. <br />
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