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BUCKNAM INFRASTRUCTURE GROUP INC. 1 - 2015
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BUCKNAM INFRASTRUCTURE GROUP INC. 1 - 2015
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Last modified
2/1/2018 6:43:22 AM
Creation date
2/3/2017 3:20:09 PM
Metadata
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Contracts
Company Name
BUCKNAM INFRASTRUCTURE GROUP INC.
Contract #
A-2015-290-1
Agency
PUBLIC WORKS
Council Approval Date
12/15/2015
Expiration Date
12/31/2017
Insurance Exp Date
9/16/2018
Destruction Year
2022
Notes
Amends A-2015-290
Document Relationships
BUCKNAM INFRASTRUCTURE GROUP INC. - 2015
(Amends)
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\Contracts / Agreements\_PENDING FOLDER\READY TO DESTROY IN 2022
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OBC A399956 03 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ [TCAREFULLY. <br />ADDITIONAL INSURED _ OWNERS, LESSEES OR CONTRACTORS_ <br />SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SCHEDULE <br />Narne of Person or Organiza�i—on <br />Location of Covered Operations <br />City of Santa Ana, its officers, employees, <br />agents and representatives <br />20 CIVIC CENTER PLAZA <br />SANTA ANA, CA 92701 <br />(If no entry appears above, information required tocomplete this endorsement w11beshown inthe Declarations <br />as applicable mendorsement.) <br />For the purpose of coverage pirmided by this <br />endorsement, memllowing changes are made to <br />SECTION |/—LIABILITY: <br />A. The following is added to SECTION 11 — <br />LIABILITY, C. Who Is an Insured: <br />Any person ororganization shown inthe Schedule <br />above is also anadditional insured, but only with <br />respect to UaLi|ih/ for "bodily i " e� <br />dameQd' or "Personal d injury"` ' <br />caused inwhole m'inpart, by: <br />a. Your acts oromissions; cx <br />b, The acts oromimsionaofthose acting onyour <br />behalf, <br />inthe performance ofyour ongoing operations for <br />the additional insured at the location designated <br />above. <br />However: <br />o. The insurance afforded to such additional <br />insured only applies tothe extent permitted by <br />law; and <br />d. If coverage pnovded to the additional insured <br />is required by o contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B. The following is added to SECTION H — <br />LIABILITY, B. Exclusions: <br />38149370816 <br />This insurance does or <br />"property damage" occurring after: <br />a. All work, including matehao, pedn or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insured at the <br />location of the covered operations has been <br />completed; or <br />b. That portion of "your work" out of which the <br />injury or damage ahaam has been put tnits <br />intended use by any person or organization <br />ctherthananother contractor orsubcontractor <br />engaged in pedbnninQ operations {br e <br />principal as a part of the same project. <br />C. The following is added to SECTION U — <br />LIABILITY, O.Liability and Medical Expenses <br />Limits nfInsurance: <br />If coverage provided to the additional insured is <br />required byacontract or agreement, the most we <br />will pay on behalf ofthe additional insured is the <br />amount ofinsurance: <br />a. Required bythe contract oragreement; or <br />b. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable Limits of Insurance shown in the <br />ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. <br />Includescopyrigwedmated a]uInsurance s������with Its permissi on. Page 1of1 <br />
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