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OCEAN BLUE ENVIRONMENTAL SERVICES, INC. 1D
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OCEAN BLUE ENVIRONMENTAL SERVICES, INC. 1D
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Last modified
8/2/2016 11:12:46 AM
Creation date
7/14/2016 10:35:18 AM
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Contracts
Company Name
OCEAN BLUE ENVIRONMENTAL SERVICES, INC.
Contract #
A-2013-115-03
Agency
PUBLIC WORKS
Expiration Date
6/30/2017
Insurance Exp Date
7/1/2017
Destruction Year
2022
Notes
A-2012-106;, A-2013-115 & 01 & 02
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Named Insured: Ocean Blue Environmental Services, Inc. <br />Policy Number: ECP2018650-10 ENDORSEMENT Effective Date: 7/1/2016 <br />This endorsement forms a part of the policy to which it is attached. Please read It carefully. <br />In consideration of the premium charged and notwithstanding anything contained in this policy to the contrary, it is hereby <br />agreed and understood that this endorsement shall apply only to the Coverage Part(s) corresponding with the box or <br />boxes marked below. <br />COVERAGES PARTS A AND s <br />❑ COVERAGE PART D <br />Name Of Additional Insured Person(s) Or Organization(s): <br />Any person or organization with whom the Named insured executes a written contract <br />prior to the lease of equipment and is shown on a certificate of insurance <br />issued by an authorized representative prior to the lease of the equipment. <br />information required to complete this Schedule, if not shown above, will be shown in the Dec <br />1. SECTION III - WHO IS AN INSURED is amended to include as an insured the person(s) or organization(s) shown <br />in the schedule above, but only with respect to their liability arising out the maintenance, operation or use by you of <br />equipment leased to you by such person(s) or organization(s). <br />2. With respect to the insurance afforded to the person(s) or organization(s) scheduled above, their status as an <br />insured ends when their contract or agreement with you for such leased equipment ends. <br />3, The coverage provided by this endorsement shall not apply to: <br />a. Claims or suits based upon or arising from an actual or alleged Act, error or omission in the performance of <br />professional services of the person(s) or organization(s) shown in the schedule above. <br />b. Any occurrence which takes place after the equipment lease expires. <br />ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED. <br />0 2006 by Berkley Specialty Underwriting Managers LLO, an arffillate of Nautilus insurance company and Great Divide Insurance company. All rights reserved. <br />9105.2006 by insurance services Office, Inc., material used by permission- <br />1058 12 07 Page 1 of 1 <br />- -- - ----------_ <br />............. ... -- --- --- <br />-- <br />BY:— EUNICE FIEREDIA (PG,✓C)F <br />
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