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BRODERICK, JAY 1 - 2011
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BRODERICK, JAY 1 - 2011
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Last modified
1/26/2016 3:42:18 PM
Creation date
6/7/2011 8:44:37 AM
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Contracts
Company Name
BRODERICK, JAY
Contract #
N-2011-066
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Expiration Date
6/30/2012
Insurance Exp Date
10/15/2013
Destruction Year
2017
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POLICY NUMBER. PHPK772381 <br />COMMERCIPL GENERAL LIABILITY <br />CG 20100704 <br />THIS ENDORSEMENTCHANGESTHEPOLICY, PLEASE READITCAREFULLY, <br />ADDITIONAL INSURED= OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />Thls endorsement modl0ea Insuragge provided uoder(he Nhowiog, <br />COMMERCIAL GENERAL LIABILITY COVERAGE PRRT <br />SCHEDULE <br />Name Of Additional Igsmed Person(s) <br />Or Orr, agitations : <br />' <br />Encoring s Of Covered 0 eraGogs <br />City of Santa Aga <br />Park, Recreating and Community Servires <br />'. <br />lo(ormatioor uhedloaom IelethlsSoh�ule, Ilgotshavgaboue ,willbesfwwgigfheOeclare0ons, <br />A. Section II -Who Is An Insured B amended !o <br />igclutle as an atltlitlooal iosur¢tl the personlsl or <br />organtlalicojej ahowo to the Sohetlule, buf only <br />with respell to liabllify for "bcdlly Injury ", " property <br />damage" or "personal agtl ativerfiaing Injury" <br />caused, in whale or in part, by. <br />1, Your ads or omissiogs, or <br />2. The ads or omissions of those acting on your <br />behalf; <br />in the pedormaooe al your o «going opea[Icns tar <br />fhe adtlhionel igauredjsj at the looeflon(s tlesig <br />noted alnve, <br />B. Whh respell to the Igaurance ahorded to these <br />atltlhional insureds, fhe following atltll0onal ecdu- <br />sionsapply. <br />ihls I «suragce does gat apply to "badlly Igjury" or <br />"property damage" occu «ing aft¢r. <br />1. All work, ioolutling materials, pans or ¢quip <br />mect lurrtrshed in cognedlcg tVth surd work, <br />on the proj¢d lotherthan servire, mainl¢oance <br />or repairs) tg be p¢dormetl by or on 6ehall d <br />the atltlhiogal insuretl[sj at fhe lo�tloo of fhe <br />awered opemfiorrs has been wmpl¢ted, or <br />2. That potlloo of "your work" ouf of whloh the <br />injury or damage arises has bees pN to iN io- <br />tegded use by any person a otAanitaflco <br />other than a «dher000trador or subcontractor <br />engaged in petlorming operations for a pinch <br />pal as a part of the same project. <br />CG10100704 ®ISOPro�dies,loc.,2004 Pagelcll D <br />
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