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UNITED STORM WATER, INC. 8 - 2015
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UNITED STORM WATER, INC. 8 - 2015
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Last modified
3/13/2017 2:59:43 PM
Creation date
8/6/2015 2:58:57 PM
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Contracts
Company Name
UNITED STORM WATER, INC.
Contract #
A-2015-089
Agency
PUBLIC WORKS
Council Approval Date
5/19/2015
Expiration Date
6/30/2016
Insurance Exp Date
12/31/2016
Destruction Year
2021
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Additional Insured - Automatic- Owners, Lessees Or <br />Contractors <br />Coverage Part One - Commercial General Liability <br />Coverage Part Two- Contractor's Pollution Liability <br />ZURICH <br />Policy No. <br />Eff. Date of Pal, <br />Exp. Date of Pol. <br />Eff. Date of End. <br />Producer <br />Add'I Prom. <br />Return Prem, <br />PL008626700 <br />1 12131/2014 <br />12/31/2015 <br />�• <br />�szzacoo <br />........ <br />I ---------- <br />Named Insured and Mailing Address: <br />UNITED PUMPING SERVICE, INC. <br />14000 VALLEY BLVD <br />CITY OF INDUSTRY, CA 91746 -2801 <br />Producer: <br />BOLTON & COMPANY <br />PO BOX 6030 <br />PASADENA, CA 91102 -6030 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies Insurance provided under the following: <br />Environmental Services Package Policy <br />❑X COVERAGE PART ONE - COMMERCIAL GENERAL LIABILITY <br />D COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY <br />1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an insured any <br />person or organization whom you are required to add as an additional insured on this policy under a written contract <br />or written agreement. <br />2. The insurance provided to the additional insured person or organization applies only to: <br />a. "Bodily injury ", "property damage" or "personal and advertising Injury" under COVERAGE PART <br />ONE - COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE <br />LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, <br />by: <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting on your behalf; <br />and resulting directly from: <br />(a) Your ongoing operations performed for the additional insured, which Is the subject of the written contract <br />or written agreement; or <br />(b) "Your work" completed as included In the "products- completed operations hazard ", performed for the <br />additional insured, which is the subject of the written contract or written agreement; and /or <br />b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION <br />LIABILITY, caused, In whole or in part, by: <br />(1) Your acts or omissions; or <br />STF- ESP -101 -E CW (00110) <br />Page 1 of 3 <br />UNITED STORM WATER AGR # TBD PROJECT 15 -6488 REVIEWED BY', <br />... <br />�• <br />EUNICE HEREDIA (PG 2 OF 4) <br />2499)3] I IMITPUK -01 1 14 -1'i CL, R"Co, u.b, M PULL, PI.f Li nb I ..I!.. 111 fl'. 11oc „S,lg 6/1/2015 <br />10: o1, <br />11 1. <br />(POT) I Fag. 2 of J <br />
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