CURBSIDE, INC. - 2007 - Laserfiche WebLink

Home Browse Search

Additional Insured — Scheduled — Owners, Lessees or Contractors — Broad Form COVERAGE PART ONE — COMMERCIAL GENERAL LIABILITY 0 ZURICH Policy No. Efr Dale of Put, Exp.1)a1e of Put. Eff Date of End. Broker 09967060 Add'I Prcm. Return Prom. GPL 5a3555a -OD 08!23106 08!23/07 08123!08 Hone None Named In4wred and Mailing Address: Curbside, Inc. 1160 N. Armando Street Anaheim, CA 92806 Broker: Target Marketing Insurance Services 2500 Via Cabrillo Marina, #306 San Pedro, CA 90731 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: Environmental Services Package Policy In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the tens, exclusions and conditions of the policy and with respect to COVERAGE PART' ONE — COMMERCIAL GENERAL LIABILITY and the coverage provided by this endorsement that: Schedule Name of Person or Organizatlon: THE CITY OF Santa Ana Location address which Is the subject of the written contract: J HE CITY OF Santa Ana I . Who is an Insured (Section 1.) in the COMMON POLICY PROVISIONS is amended to include as an insured the person or organization shown in the Schedule above whom you arc required to add as au additional insured on this policy under a written contract or written agreement. 2. The insurance provided to the additional insured applies only to "bodily injury ", "property damage' or "personal and advertising injury" covered tinder COVERAGE PART ONE — COMMERCIAL GENERAL. LIABILITY COVERAGE, A - 1101)II..Y INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIAL3ILLTY, but only if: a. The "bodily injury" or "property damage" results front your negligence; and b. The `bodily injury ", 'property damage" or "personal and advertising injury" results directly from: (1) Your ongoing operations; or (2) "Your work" completed as ifiviuded in the "products - completed operations hazard ", performed for the additional insured at the location designated and described in the schedule of this endorsement, which is the subject of the written contract or written agreement. Copyright Q 2005 by Zurich Insurance Company STF- FSP- 102-R rw(olln5) Page 1 of 2 All rights reserved. No part of this document covered by the copyrights hereon may be reproduced ur cupicd its any romr by any means - graphic, electronic, ur mechanical, including photocopying, taping or mfomtatiott storage and retrieval systems - without written permission of the Zurich Insurance Company.