WEST COAST ARBORISTS 1 -2004 - Laserfiche WebLink

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THIS ENDORSEMENT CHANGES THE POLICY_ PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Or anization s Locations) Of Covered Operations Any owner, lessee, or contractor for whom you have agreed in writing prior to a loss to provide liability Insurance. Information re wired to com lete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to include as an additional insured the persons) or organizations) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your be- half; in the performance of your ongoing operations for the additional insureds) at the locations) designated above. B. With respect to the insurance afforded to these addi- tional insureds, the following additional exclusions ap- ply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the pro- ject (other than service, maintenance or repairs) to be performed by or on behalf of the additional in- sureds) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another con- tractor or subcontractor engaged in performing op- erations for a principal as a part of the same project. This endorsement is executed by the company below designated by an entry in the box opposite its name Premium Effective Date: 7/'1/20'1'1 Expiration Date: 7/'1/20'12 For attachment to Policy No.: TB2- 66'1- 039499 -0'1'1 Audit Basis: Issued to: West Coast Arborists Inc Countersigned by. Issued: Sales Office and No. [ ]LIBERTY MUTUAL INSURANCE COMPANY [X ]LIBERTY MUTUAL FIRE INSURANCE COMPANY [ ]LIBERTY INSURANCE CORPORATION [ ] LM INSURANCE CORPORATION [ ]THE FIRST LIBERTY INSURANCE CORPORATION SEC RE "rARY' "� PR F.SID ENT .......................... ............................... ... ........................... Authorized Representative CG 20 10 07 04 ©ISO Properties, Inc_, 2004 Page 1 of 1 O