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U.S. HEALTHWORKS 4 - 2011
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U.S. HEALTHWORKS 4 - 2011
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Last modified
1/3/2012 1:53:31 PM
Creation date
8/24/2011 9:50:52 AM
Metadata
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Template:
Contracts
Company Name
U.S. HEALTHWORKS
Contract #
N-2011-102
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2013
Insurance Exp Date
9/1/2011
Destruction Year
2018
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COMMERCIAL AUTO <br />THIS ENfDORSE>1fIENT CHANGES Tl-EE POLICY. PLEASE F2EAD ?T CAREFSJLLY. <br />a3JSii?ESS ALTO EXTENiSiONI Ei?f®ORSE?EB?9T <br />This endorsement modifies insurance provided under the fallowing: <br />BUSINESS AUTO COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- <br />fied by the endorsement. <br />GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. However, coverage for any <br />injury, damage or medical expenses described in any of the provisions of this endorsement may tie excluded or <br />limited 6y another endorsement to the Coverage Part, and these coverage broadening provisions co not apply to <br />the extent that ceverage is excluded or limited by such an endorsement. The following listing is a general cover- <br />age description only. Limitations and exclusions may apply to these coverages. Reac all the provisions of this en- <br />dorsement and the rest of your policy carefully Yo determine rights, duties, and what is and is not covered. <br />A. BROAD FORM NAMED INSURED <br />B_ BLANKET ADDITIONAL INSURED <br />C. EMPLOYEE HIRED AUTO <br />D. EMPLOYEES AS INSURED <br />E. SUPPLEMENTARY PAYM=NTS -INCREASED <br />LIMITS <br />p. HIRED AUTO - UIV[ITED WORLDWIDE <br />COVERAGE -INDEMNITY BASIS <br />G. WAIVER OF DEDUCTIBLE -GLASS <br />H. HIRED AUTO PHYSIGAL DAMAGE - LOSS <br />OF USE -INCREASED LIMIT <br />1. PHYSICAL DAMAGE - TRANSPORTATION <br />EXPENS>=S -INCREASED LIMIT <br />J. PERSONAL EFFECTS <br />K_ AIRBAGS <br />L_ NOTICE AND KNOWLEDGE 6F ACCIDENT <br />OR LOSS <br />M. BLANKET WAIVER OF SUBROGATION <br />N. UNINTENTIONAL ERRORS OR OMISSIONS <br />PROVISIONS <br />A. BROAD FORM NAMED INSURED <br />The following is added to Paragraph A.1., Who Is <br />An Insured, of SECTION II - LIABILITY COV- <br />ERAGE: <br />Any organization you newly acquire or form dur- <br />ing the policy period over which you maintain <br />50% or more o?vnarship interest and that is not <br />separately insured for Business Auto Coverage, <br />Coverage under this provision is afforded only un- <br />til the 180th tlay after you acquire or form the or- C- <br />ganization or the end of the poll=y period, which- <br />ever is earlier. <br />B. SLANKET ADDITIONAL INSURED <br />The following is added to Paragraph c. in A.1 ., <br />Who Is An Insured, of SECTION 11 -LIABILITY <br />COVERAGE: <br />Any person or organization who is required under <br />a written contract or agreement Between you and <br />that person or organization that is si ned and <br />executed by you before the "bodily injury" ar <br />"property damages" occurs and that is in effect <br />during the policy period, to ?e named as an addi- <br />tional insured is an "insured" for Liability Cover- <br />age, but only for damages to which this insurance <br />applies and only to the eMant that person or or- <br />ganization qualif es as an "insured" under the <br />Who Is An Insured provision contained in Section <br />II. <br />EMPLOYEE HIRED AUTO <br />?_ The following is added to Paragraph A.'i., <br />Wha Is An Insured, of SECTION II - LI- <br />ABILITY COVERAGE: <br />An "employee" of yours is an "insured" while <br />operating an "auto" hired or rented under a <br />contract or agreement in that "employee's' <br />name, with your permission, while performing <br />duties related to the conduct of your busi- <br />neSS. <br />g <br />CA T3 53 06 09 ? 2009 The -ravclc:s Companies. Ir.N _ppR©??? ?? TC FOPagM, of a <br />Includes the eopynghted material o' Insurance Services Office he °th iasien <br />LISA E. STORCK <br />assistant City Attorney <br />?'/6
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