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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
Metadata
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Template:
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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OCEAN BLUE ENVIRONMENTAL A- 2013 - 115 -02 REVIEWED BY V _ V ' A 1 EUNICE HEREDIA (PG 4 OF '16) <br />*Starr Surplus Lines Insurance Company <br />Chicago, IL 1- 646 - 227 -6300 <br />Primary and Non - contributory, /additional Insured and <br />Waiver of Subrogation <br />Policy Number: 1000065767151 Effective Date: July 1, 2015 at 12:01 A.M. <br />Named Insured: Ocean Blue Environmental Services, Inc <br />This endorsement modifies the insurance coverage forms) listed below that have been purchased by you and <br />evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. <br />Commercial General Liability Coverage Form <br />Owners and Contractors Protective Liability Coverage Form <br />Products /Completed Operations Liability Coverage Form <br />Contractors Pollution Liability Coverage Form <br />Professional Liability Coverage Form <br />Site Pollution Liability Coverage Form <br />SCHEDULE <br />Where Required By Written Contract <br />A. SECTION II - WHO IS AN INSURED is amended to include as an Insured the person or organization shown in <br />the schedule of this endorsement, but only with respect to liability arising out of "yourwork" far that insured by or <br />for you. <br />B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property <br />damage" arising out of your negligence when the following written contract requirements are applicable: <br />1. Coverage availahle under this coverage part shall apply as primary insurance. Any other insurance <br />available to these additional Insured's shall apply as excess and not contribute as primary to the insurance <br />afforded by this endorsement. <br />2. We waive any right of recovery we may have against these additional Insured's because of payments we <br />make for injury or damage arising out of "your work" done under a written contract with the additional <br />insured. <br />3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall <br />not increase the limits or coverage provided by this insurance. <br />Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of Insurance <br />In lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or <br />otherwise alter the terms of the actual policy. <br />All other terms and conditions of this Policy remain unchanged. <br />Signed for STARR SURPLUS LINES INSURANCE COMPANY <br />Charles H. Da gelorY , President Nehemiah E. Ginsburg, Ge ran atounsel <br />SL 028 (00111) Page l of I <br />enpyrlpM 41c,Id.CRa,(,hwd YavtlN INurpLm tin¢v Invurnnc¢c¢mpmry. 0.11 .Na. r¢¢ervvtl. <br />imlutlee eapYrighl¢tl maf¢tlal ¢r150 Prap¢tllee, Inc., usatl vtllM1 IN p¢rmlealon. <br />
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