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UNITED STORM WATER, INC. 8A
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UNITED STORM WATER, INC. 8A
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Last modified
6/9/2017 3:24:17 PM
Creation date
6/1/2016 1:49:40 PM
Metadata
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Template:
Contracts
Company Name
UNITED STORM WATER, INC.
Contract #
A-2015-089-01
Agency
PUBLIC WORKS
Expiration Date
6/30/2017
Insurance Exp Date
12/31/2017
Destruction Year
2022
Notes
A-2015-089
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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 />a <br />ZURICH® <br />Policy No. <br />Eff. Date of Pol. <br />Exp. Date of Pol. <br />Eff. Date of End. <br />Producer <br />Add'I Prem, <br />Return Prem. <br />GPL008626701 <br />12/31/2015 <br />12/31/2016 <br />75223000 <br />rraureu insured and nramng 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 />© COVERAGE PART TWO -CONTRACTOR'S POLLUTION LIABILITY <br />1. Who is an Insured (Section l.) 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 (og/10) <br />Page 1 of 3 <br />REVIEWED BY: �'�(, EUNICE HEREDIA(PG,ZOF(-t) <br />19133910 VNI9'PU11-01 15-3G GL, AVCo, Onh, WC, POLL, Prof Llab I Altsa 6opnt 11/21/dal6 4:56:02 int (PST) I Page 2 OF 9 <br />
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