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ALL AMERICAN ASPHALT (3)
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ALL AMERICAN ASPHALT (3)
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Last modified
10/27/2016 3:58:53 PM
Creation date
10/5/2015 10:00:31 AM
Metadata
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Template:
Contracts
Company Name
ALL AMERICAN ASPHALT
Contract #
15-6839
Agency
Public Works
Council Approval Date
7/7/2015
Insurance Exp Date
8/1/2016
Destruction Year
2020
Notes
Project
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BLANKET ADDITIONAL INSURED ENDORSEMENT <br />This endorsement modlfles Insurance provided under the following, <br />COMMERCIAL GENERAL LIABILITY COVERAGE FORM <br />COMMERCIAL GENERAL LIABILITY SELF-INSURED RETENTION COVERAGE FORM <br />SECTION II - WHO 18 AN INSURED is amended to include as an additional Insured those persons or <br />organizations who are required under a wrltten contract with you to be named as an addhianal Insured, <br />but onty with respect to liability 1or'bodlly Injury*, 'property damage", or'personal and advertising Injury <br />caused, In whole or In part by your ads or omissions or the acts or omlasrons of your subcontractors: <br />A. In the performance or your ongoing operations or'your work", including 'your work' that has been <br />oompieteri: or <br />B. In connedion with your premises owned by or rerted to you. <br />As used In this endorsement, the words W and 'your" refer to the Named Insured. <br />All other terms and conditions of this Polley remain unchanged <br />Schedule Project <br />City of Santa Ana, its officers, employees, agents, volunteers Project #15-6839 / RE: Local Street Slurry Seal 2014 - <br />and representatives 15 <br />Endorsement Number: <br />This endorsement is effective on the inception date of this policy unless otherwise stated herein. <br />(The information below is required only when this endorsement Is Issued subsequent to preparation of the policy,) <br />Policy Number GP20022658-07 <br />Named Insured: All American Asphalt et al <br />EndorsementEffedlveDate. August 1, 2015 <br />3870 <br />00 CGL0006 00 05 07 Page 1 of 1 <br />
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