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PDS TECHNICAL SERVICES 3
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PDS TECHNICAL SERVICES 3
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Last modified
3/25/2024 4:03:51 PM
Creation date
11/4/2010 11:16:03 AM
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Template:
Contracts
Company Name
PDS TECHNICAL SERVICES
Contract #
A-2010-195
Agency
PUBLIC WORKS
Council Approval Date
10/4/2010
Insurance Exp Date
9/1/2011
Destruction Year
2019
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Policy Number GLO 9298949-09 <br />Endorsement No. 002 <br />COMMON POLICY CHANGE ENDORSEMENT <br />Named Insured PDS TECH, INC. Effective Date: 09-01-2010 <br />12:01 A.M., Standard Time <br />Agent Name LOCKTON COMPANIES, LLC Agent No. 37-385-884 <br />POLICY CHANGES ENDORSEMENT DESCRIPTION (CONT'D) <br />THE POLICY IS AMENDED AS FOLLOWS: <br />In consideration of any change in premium is to be determined at audit, It is hereby <br />agreed and understood the policy is amended as follow: <br />1.) FORM - CG 2010 (10/01) —ADDITIONAL INSURED —OWNERS, LESSES OR CONTRACTORS — <br />SCHEDULED PERSON OR ORGANIZATIONS IS NULL AND VOID EFFECTIVE 09-01-2010. <br />2.) FORM — U-GL-1114-A CW (10102) -ADDITIONAL INSURED IS ATTACHED AND MADE APART <br />OF THE POLICY. <br />REMOVAL PERMIT <br />If this policy includes the Commercial Property Coverage Part, the following applies with respect to the Cover- <br />age Part: <br />If Covered Property is removed to a new location that is described on this Policy Change, you may extend this <br />insurance to include that Covered Property at each location during the removal. Coverage at each location will <br />apply in the proportion that the value at each location bears to the value of all Covered Property being removed. <br />This permit applies up to 10 days after the effective date of this Policy Change; after that, this Insurance does <br />not apply at the previous location. <br />APPROVED AN 1 U rv1%lvl <br />U-GU-814-A CW (10/02) <br />Laura Stitt Sheedy <br />. r': A ftnPn PV <br />
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