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25A - AGMT - WIA YOUTH FUNDS
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25A - AGMT - WIA YOUTH FUNDS
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Last modified
5/30/2014 9:35:44 AM
Creation date
5/30/2014 9:04:41 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
25A
Date
6/3/2014
Destruction Year
2019
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C S1 "'10/17/13 *PACO330978 -01 574353436 *D /B ORIG IMAGE COPY <br />0694804 GREAT AMERICAN INSURANCE CO <br />301 F str2bve offices <br />soi e 4th so-eer <br />GREAT On,dnnafi OR 452G2 -4?01 <br />AMF,'RIC.1N 5133695000 ph CG 82 24 <br />INSURANCE GROUP <br />(Ed. 12 01) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />SOCIAL SERVICE AGENCY GENERAL LIABILITY BROADENING ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />1. The following provision is added to SECTION <br />II - WHO IS AN INSURED <br />5. AUTOMATIC ADDITIONAL INSURED(S) <br />a. Additional Insured - Manager or <br />Lessor of Premises <br />(1) This policy is amended to include <br />as an insured any person or or- <br />ganization (hereinafter called Ad- <br />ditional Insured) from whom you <br />lease or rent property and which <br />requires you to add such person <br />or organization as an Additional <br />Insured on this policy under: <br />(a) a written contract; or <br />(b) an oral agreement or con- <br />tract where a Certificate of <br />Insurance showing that per- <br />son or organization as an <br />Additional Insured has been <br />issued, <br />(2) With respect to the insurance af- <br />forded the Additional Insured <br />identified in Paragraph A.(1) of <br />this endorsement, the following <br />additional provisions apply: <br />(a) This insurance applies only <br />to liability arising out of the <br />ownership, maintenance or <br />use of that portion of the <br />premises leased to you <br />(b) The Limits of Insurance ap- <br />plicable to the Additional In- <br />sured are the lesser of those <br />specified in the written con- <br />tract or agreement or in the <br />Declarations for this policy <br />and subject to all the terms, <br />conditions, and exclusions <br />for this policy. The Limits of <br />Insurance applicable to the <br />Additional Insured are inclu- <br />sive of and not in addition to <br />the Limits of Insurance <br />shown in the Declarations. <br />but the written or oral contract or <br />agreement must be an "insured (c) In no event shall the cov- <br />contract," and, erages or Limits of Insurance <br />in this Coverage Form be in- <br />(i) currently in ef-ect or be- creased by such contract. <br />come effective during the <br />term of this policy; and (d) Coverage provided herein is <br />excess over any other valid <br />(ii) executed prior to the "bodily and collectible insurance <br />injury," "property damage," available to the Additional In- <br />"personal and advertising in- sured whether the other in- <br />jury." surance is primary, excess, <br />APPROVED AS TO Fi`)�' <br />LISA E. SIORCK <br />Assistant Citv Atto n v <br />Includes copyrighted material of Insurance Service Office with Its- permissron. �.. <br />Copyright, Insure Vic fice, Inc., 2001 <br />CG 82 24 (Ed. 12101) XS �� o� Wt <br />EXHIBIT I <br />
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