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PELLETIER & ASSOCIATES - 2008
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PELLETIER & ASSOCIATES - 2008
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Last modified
7/7/2016 1:16:45 PM
Creation date
8/11/2009 2:24:39 PM
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Contracts
Company Name
PELLETIER & ASSOCIATES
Contract #
N-2009-097
Agency
PERSONNEL SERVICES
Insurance Exp Date
8/1/2015
Destruction Year
2020
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LIABILITY COVERAGE FORM <br />F: OPTIONAL ADDITIONAL INSURED <br />COVERAGES <br />BUSINESS <br />If listed or shown as applicable in the Declarations, <br />one or more of the following Optional Additional <br />Insured Coverages alsoapply Whenanyofthese <br />Optional Atltlllional Insured Coverages apply, <br />Paragraph 6. (Additional Insureds When Required <br />by Writeis Call Written Agreement or Permit) <br />Of Section C., Who Is An Insured, does not apply <br />to the parson or organization shown in the <br />Dedarab'ons. These coverages are subjed to the <br />terms and conditions applicable to Business <br />Liability Coverage in [his policy, except as <br />provided tl <br />1, Additional Insured • Designated Person Or <br />Organization <br />WHO IS AN INSURED under Section C. Is <br />amended Ie include as an addiV'onal insured <br />the parsons) or organizalian(s) shown In Iha <br />Daclarslioos, but only ud[h respect to liability <br />for `botlity injury ", "properly damage' or <br />"personal and edvedlsing injuy' caused, In <br />whole or in pad, by your acts or omissions or <br />the acN a omissions o1 those acting on your <br />hahaB' <br />a. In Iha performance of your ongoing <br />operations; or <br />b, In rannedlan wdh your premises owned <br />by or rented to you <br />Z. Additlonal Insured •Managers Or Lessors <br />Of Premises <br />a. WHO IS RN INSURED order Sabo C. H <br />amenUatl tc incude as en atldlVanal fissured <br />hapersan (s)oraganiaaticols)shawnlo6s <br />Declarations as an RdbIV'onal Insured <br />Desigaaled Persm OrOrgaoizallan, drlenly <br />wAh rasped to IiaVilily arising art of the <br />awn¢rshlp, maimenance or use of that pad of <br />the prmises leasedlo }rou and shovm In the <br />Dadarations. <br />b, Wilh respect to the insurance afforded to <br />Lhasa atltl'dlonal Insuretla, the fallowing <br />additonal aXClusions apply, <br />This Insurance does not apply to <br />111 Any "occurrence" which lakes place <br />after yeu cease to be a tenant in that <br />premises; or <br />12) Shuctlral altamllona, new <br />construction a tlamoliV'on operations <br />paformetl by or on behalf a( such <br />person or organization. <br />G. Addlllonal Insured • Grantor OfFranchise <br />WHO IS AN INSURED under Section C. is <br />amended to Include as an additional Insured <br />the parsons) or nanizallon(sj shown In the <br />Declarations as an Additosal Insured - <br />Grantor Of Franchise, but only with respect to <br />their liability as grantor of hanchise to you <br />4, Additional Insured • Lessor Of Leased <br />Equipment <br />a. WHO IS AN INSURED under SeftC,ls <br />amended to include as an additional <br />insured the persons) or aganizmion(s) <br />shown in the Declarations as an Ad itieoai <br />Insured - Lessor of Leased Equipmenl, <br />but only with respell ro Ilibilily for "bodily <br />njury", 'property damage" or 'personal <br />and adverllsing lojury' caused, In whole or <br />n part, by your maintenance, operation or <br />use of equipment leased to you by such <br />person(s) or organizalia(s), <br />b. With respect to Ire insurance affaded to <br />these addtional insureds, Its Insurance <br />does not apply to any "occurrence" which <br />lakes place star you cease to lease that <br />equipment <br />6. Additlonal Insured •Owners Or Olhar <br />Infereals From Whom Land Has Bean <br />Leased <br />a. WHOISANINSVREOUntlarSedlon0ls <br />amencetl to Indutla as an adtlltlonal <br />Insured the perscc(s) or organ¢alion(s) <br />shown'm the Dederabnns as an Rddlllonel <br />Insured - Owners Or Other Nierssls Fmm <br />Whom Lantl Has Bsen Leased, but only <br />with respect to Vablllly arising out of Eta <br />ownership, mainleoanceer use of that part <br />of the land leased to you and shovm to Iha <br />D¢clamtlona. <br />b. With rasped to the Insurance ahordetl to <br />these adtlltlonal Insureds, Iha following <br />adtlilional azclusions apple <br />This insurance does ncl applyto, <br />(1) Any "occurrence" Thal takes place <br />after you ceese!o lease that land; or <br />(2) SWclural allemliohs, new <br />conslrudlon or damolillon operations <br />peiormed by ar ar dahall of suet <br />person or organization <br />6: Additional Insured • Stale Or Palilical <br />Subdivision- Parmlis <br />a, WHOISANINSUREDuntlerSectionC.ls <br />amended to include as an atltlitlonal <br />insured Iha state or polillcal subtlNislon <br />ahowo In the Decleretohs as an Atltllllooal <br />Page 18 of Z4 Form SS 6068 6466 <br />
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