Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s): Locatlon(s) Of Covered Operations <br />Any owner, lessee, or contractor for whom you have <br />agreed in writing prior to a loss to provide liability <br />Insurance. <br />Information required to complete this Schedule, if not shown above will be shown in the Declarations. <br />A. Section 11- Who Is An Insured is amended to include <br />as an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability <br />for "bodily injury", "property damage" or "personal and <br />advertising injury" caused, in whole or in part, by: <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your be- <br />half; <br />in the performance of your ongoing operations for the <br />additional insured(s) at the location(s) designated <br />above. <br />8. With respect to the insurance afforded to these addi- <br />tional insureds, the following additional exclusions ap- <br />ply: <br />This insurance does not apply to "bodily Injury" or <br />"property damage" occurring after: <br />1. All work, including materials, parts or equipment <br />furnished in connection with such work, on the pro- <br />ject (other than service, maintenance or repairs) to <br />be performed by or on behalf of the additional in- <br />sured(s) at the location of the covered operations <br />has been completed; or <br />2. That portion of "your work" out of which the injury or <br />damage arises has been put to its intended use by <br />any person or organization other than another con- <br />tractor or subcontractor engaged in performing op- <br />erations for a principal as a part of the same project. <br />This endorsement is executed by the company below designated by an entry in the box opposite its name <br />I ] LIBERTY MUTUAL INSURANCE COMPANY <br />Premium [X ] LIBERTY MUTUAL FIRE INSURANCE COMPANY <br />[ ] LIBERTY INSURANCE CORPORATION <br />Effective Date: 7/1/2011 Expiration Date: 7/112012 [ ] LM INSURANCE CORPORATION <br />[ J THE FIRST LIBERTY INSURANCE CORPORATION <br />For attachment to Policy No.: TB2-661-039499-011 <br />Audit Basis: <br />Issued to: West Coast Arborists Inc <br />SECRETARY PRESIDE\T <br />Countersigned by ................................................................................................... <br />Authorized Representative <br />Issued: <br />Sales Office and No. <br />CG 20 10 07 04 4 ISO Properties, Inc., 2004 Page 1 of 1 13