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FULL PACKET_2012-04-02
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FULL PACKET_2012-04-02
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7/22/2016 2:47:15 PM
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4/2/2012 10:52:13 AM
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City Clerk
Agency
Clerk of the Council
Date
4/2/2012
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POLICY NUMBER: 08PKGM00041 <br />ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <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 />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 In 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 />"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 />ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME. <br />IE -0036 -0404 l 00 <br />25F -29 <br />
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