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Last modified
4/9/2025 4:52:01 PM
Creation date
4/9/2025 4:47:09 PM
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Template:
Contracts
Company Name
ADS CORP.
Contract #
N-2025-084
Agency
Public Works
Expiration Date
1/22/2026
Insurance Exp Date
12/31/2025
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POLICY NUMBER:TB2-681-004088-755 COMMERCIAL GENERAL LIABILITY <br /> CG 20 1012 19 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - OWNERS, LESSEES OR <br /> CONTRACTORS - SCHEDULED PERSON OR <br /> ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> A. Section II — Who Is An Insured is amended to 1. All work, including materials, parts or <br /> include as an additional insured the person(s) or equipment furnished in connection with such <br /> organization(s) shown in the Schedule, but only with work, on the project (other than service, <br /> respect to liability for "bodily injury", "property maintenance or repairs) to be performed by or <br /> damage" or "personal and advertising injury" on behalf of the additional insured(s) at the <br /> caused, in whole or in part, by: location of the covered operations has been <br /> 1. Your acts or omissions; or completed; or <br /> 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the <br /> behalf; injury or damage arises has been put to its <br /> in the performance of your ongoing operations for intended use by any person or organization <br /> the additional insured(s) at the location(s) other than another contractor or subcontractor <br /> designated above. engaged in performing operations for a <br /> principal as a part of the same project. <br /> However: C. With respect to the insurance afforded to these <br /> 1. The insurance afforded to such additional additional insureds, the following is added to <br /> insured only applies to the extent permitted by Section III—Limits Of Insurance: <br /> law;and If coverage provided to the additional insured is <br /> 2. If coverage provided to the additional insured is required by a contract or agreement, the most we <br /> required by a contract or agreement, the will pay on behalf of the additional insured is the <br /> insurance afforded to such additional insured will amount of insurance: <br /> not be broader than that which you are required 1. Required by the contract or agreement;or <br /> by the contract or agreement to provide for such <br /> additional insured. 2. Available under the applicable limits of <br /> B. With respect to the insurance afforded to these insurance; <br /> additional insureds, the following additional whichever is less. <br /> exclusions apply: This endorsement shall not increase the <br /> This insurance does not apply to "bodily injury' or applicable limits of insurance. <br /> "property damage" occurring after: <br /> Schedule <br /> Name Of Additional Insured Person(s) Location(s) Of Covered Operations <br /> Or Organization(s): <br /> Any person or organization for whom you have agreed All locations as required by a written contract or <br /> in a written contract or agreement, prior to an agreement entered into prior to an'occurrence" or <br /> "occurrence" or offense,that such person or offense. <br /> organization be added as an additional insured to your <br /> policy. <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> CG 2010 12 19 0 Insurance Services Office, Inc., 2018 Page 1 of 1 <br />
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