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25H - AGMT - ON-CALL SEWER SRVS (2)
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09/16/2014
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25H - AGMT - ON-CALL SEWER SRVS (2)
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Last modified
9/11/2014 6:53:09 PM
Creation date
9/11/2014 6:52:11 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25H
Date
9/16/2014
Destruction Year
2019
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POLICY NUMBER:TBJZ01450002= COMMERCIAL GENERAL LIABILITY <br />ce 20 10 10 01 <br />ADDITIONAL 1 OWNERS, i <br />CONTRACTOR $ — SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies Insurance provided under the foWng. <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />v + <br />Q€ ties ntry appears above, information required to complete this endorsement will be $hewn In the Declarations as <br />applicable to this impressment) <br />A. 8cation it – Who is An insured Is amended to <br />(1) All wort:, including materials, parts or <br />Include as an Insured the person or oigaNzation <br />equipment famished in connection with <br />shown In the 8ehadma, but Only with rospset to <br />ilabliily arising out of your Ongoing operations <br />such work, an the project (other than <br />service, maintenance or repairs) to be <br />performed for that insured. <br />peNOrmsd try Or on behalf at the add(- <br />B. With respect to the Insurance afforded to these <br />Banat naurad(s) at the Site of the cov- <br />Bred opera0ana has been compktted; <br />additional insureds, the festering exclusion Is <br />or <br />added: <br />2. Exclusions <br />the That portion of "your work` out of which <br />the injury or damage Arabs has been <br />This insurance does not apply to "bodily in- <br />put to iN intended use byyany person or <br />jury or`propary darow occurring after. <br />Organizeow other than another car <br />sector or subcontractor onglaged in <br />parformtng operations for a prindrpai as <br />a part of the same project. <br />CO 20 10 10 01 0ISO Pffewl r% Ina., 2040 Paga 1 of 1 C1 <br />e 9 ®c���� cat o°da ae a anairervpi9e °a`das "'a>�.1PPi°�Iyeuaa aercitaesaoa, <br />25H -190 <br />
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