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KILEY COMPANY A-2011-068 & AGR # TBD
<br />/,", 4,
<br />REVIEWED BY.,
<br />EUNICE HEREDIA (PG 3 OF 9)
<br />E600RSEtit. 64T CHAAte F,!"S'T"HE PMK',"nY PLEASE READ !1(w"AFZEF(Ji-LY
<br />CMP -4786,"I ADDITIONAL INSURED -- OWNE�RS, LESSEES, OR CONTRACTORS
<br />(Scheduled)
<br />rrf,,'xJ&f,,'.s rnSLH',Ince prcwkjed unideF k'Af,,c,vi(inc
<br />BUGNESS010,MRS (,,(�)'VERAGE FORM
<br />Hilmijaw
<br />Policy Number�
<br />Named Insure&
<br />P
<br />1 C -A 4
<br />NameAnd Address Of Additionat Insured Person Or Organizatiow,
<br />A'1
<br />SECTION 11 WHO IS AN INSURED of
<br />SECTION 11 LIABILITY �tS �,Iffiended k'> in-
<br />ch,jde as Brrsiijred, any person or
<br />c,,Yrgiinzatron shown n the ScheduW but au rd
<br />vv#, , respect to hat)Ofty fiar 1X)d4y �njjt,,Iry',
<br />'propc,rty dan"iage", or "pemcinM ar'rd aclvertis-
<br />fnq inpv,y" caused, in �ovh6e or in, parl, by,
<br />a, Ongoing Operations
<br />(1) yo't'r' "'icts Or ornissionsr
<br />(2) T1,4a acts or c,,,irriYssions of th.ose ac'.t'tjng
<br />on ycxir b0'4f I
<br />�n the r.rerfr
<br />)ruiance of y,ciur or,
<br />tron�s for V'iat ad&Onae w*ure,J, or
<br />b, Products -- Completed Operations
<br />'Your work" pid"rrfcvnieid (-,,,,r that addifioria�
<br />irmannao,'J aricl inc:kjdir(J rr "prcjd,,v:Js-
<br />t-ficv,%ever, Paragnaph 1. .k4 k6 is sub
<br />jec'l to the
<br />kfflcp'0'�ic:
<br />a 7h(,',, �',,iffiorcled trct the acid it ic,,rla 1
<br />ln';Ure'ct clr0y tO ttfh,r ieXtErflt CJf'"�,(110"
<br />te"a", by 1"ivv'
<br />CAMP 47$i`,�
<br />b, It coverage pro-,iided to Vrie additoo;mt,' in-
<br />siur'ed ps recluired by a contract or agre(-
<br />n'ient, the urmirance prc'vvtd'ici to flhirr
<br />adi:fitlonal (ristwed wM not be bn,"mde, th'in
<br />viat, whrch you are required by trve rrrdrlrPrrt
<br />Par ageernent to provide fair sixh addu0c)frii.,
<br />M and
<br />c. If the (';orwact cw agreerrnerit I,')et,,veen you
<br />an,i,J the addftrvat itrSiLfred os governed t,,,y
<br />CaVorrva Ciivit Code Sef,,,Ak.,)n 2782 w
<br />2782,05, Vie ir4surane pro'vkk-ci to th(--r
<br />wIdificinz0n
<br />�s(,rres, d �thfu� hi""Isser of 0'1r'A
<br />Z'l
<br />(1) Is. alkw(:^d fcw fl,'e of ar de-
<br />inn erw'Oy by Cah.-
<br />forr,oa Civ0 Code 27,8,21 cv,
<br />2782A36 s6e mtifktycw
<br />(2) art-, rc,';'uwed by conl(act ur
<br />tr,'r fro,
<br />tionii� Br"isured
<br />We ;1() P,Juty t() dkF?ferid (or 1w0erni10"y the,,
<br />ti1 a cja'rrrr c')r si"M" {s to is
<br />V om 2�) 1 '
<br />r"M ';un,
<br />
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