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25F - AGMT - WARNER AVE WIDENING
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04/02/2012
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25F - AGMT - WARNER AVE WIDENING
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Last modified
3/29/2012 5:53:45 PM
Creation date
3/29/2012 5:48:04 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25F
Date
4/2/2012
Destruction Year
2017
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<br /> <br /> <br /> i <br /> <br /> <br /> <br /> <br /> POLICY NUMBER: 08PKGM00041 <br /> <br /> ENDORSEMENT <br /> <br /> <br /> <br /> This endorsement modifies insurance provided under the following: <br /> <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br /> CONTRACTORS POLLUTION LIABILITY COVERAGE PART <br /> PROFESSIONAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name of Person or Organization: <br /> <br /> AS PER WRITTEN CONTRACT <br /> (If no entry appears above, information required to complete this endorsement will be <br /> shown in the Declarations as applicable to this endorsement.) <br /> WHO IS AN INSURED (Section Il) is amended to include as an insured the person or <br /> organization shown in the Schedule, but only with respect to liability arising out of "your <br /> work" for that insured by or for you. <br /> <br /> "Insureds are advised that certificates of insurance should be used only to provide <br /> evidence of insurance in lieu of an actual copy of the applicable insurance policy. <br /> Certificates should not be used to amend, expand, or otherwise alter the terms of the <br /> actual policy." <br /> <br /> ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> IE-0036-0404 l 00 <br /> <br /> <br /> <br /> <br /> <br /> 25F-29 <br />
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