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ATHENS SERVICES-2012
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ATHENS SERVICES-2012
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Last modified
3/14/2018 3:23:11 PM
Creation date
12/19/2012 10:17:52 AM
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Contracts
Company Name
ATHENS SERVICES
Contract #
A-2012-167
Agency
PUBLIC WORKS
Council Approval Date
7/16/2012
Expiration Date
6/30/2020
Insurance Exp Date
3/1/2019
Destruction Year
2025
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ENDORSEMENT NO. 5 <br />This endorsement, effective 12:01 AM. March 1, 2012 <br />Forms a part of Policy No: EG 6439324 <br />Issued to: ARAKELIAN ENTERPRISES, INC <br />ATHFNS SFRVICFS <br />By: CHARTIS SPECIALTY INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT - <br />OWV_ERSx_LESSEES OR CONTRACTORS - YOUR WORK <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY AND <br />POLLUTION LEGAL LIABILITY POLICY <br />SCHEDULE <br />Name of Additional Insured Person(s) or Organization(s): <br />BLANKET WHERE REQUIRED BY WRITTEN CONTRACT <br />Lacationts) of Covered Operations) <br />BLANKET WHERE REQUIRED BY WRITTEN CONTRACT <br />I. Solely as respects COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B - <br />PERSONAL AND ADVERTISING INJURY LIABILITY, COVERAGE E-2 PRODUCTS POLLUTION AND <br />EXPOSURE LIABILITY, and COVERAGE E-3 - CONTRACTORS POLLUTION LIABILITY, SECTION II - WHO <br />IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the <br />Schedule, but only with respect to liability for bodily Injury, property damage, personal and advertising injury, <br />environmental damage or emergency response costs caused, in whole or in part, by: <br />A. Your acts or omissions; or <br />B. The acts or omissions of those acting on your behalf; <br />in the performance of your work for the additional insured(s) at the locaticn(s) designated above. <br />11. As respects the coverage afforded the additional insureds) scheduled above, this insurance is primary and <br />non-contributory, and our obligations are not affected by any other insurance carried by such additional insuredis) <br />whether primary, excess, contingent, or on any other basis. <br />All other terms, conditions and exclusions shall remain the same. <br />—1 1 <br />,i, - L <br />AUTH(ARIZED REPRESENTATIVE <br />or countersignature (in states where applicable) <br />1£13393 (10109) PAGE 1 OF I <br />C14406 <br />
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