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25E - AGMT - WATER QUALITY TESTING
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05/02/2017
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25E - AGMT - WATER QUALITY TESTING
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Last modified
4/27/2017 3:37:33 PM
Creation date
4/27/2017 3:10:41 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25E
Date
5/2/2017
Destruction Year
2022
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CNA <br />G-1 <br />Ed. 112-0 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />NONCONTRACTOR'S ADDITIONAL INSURED <br />ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />A. WHO IS AN INSURED (Section II) is amended to <br />b. Controlling Interest <br />include as an insured any person or organization <br />(called additional insured) described in paragraphs <br />Any persons or organizations with a <br />2.a.through 2.g, below whom you are required to add <br />controlling interest in you but only with respect <br />as an additional insured on this policy under a written <br />to their liability arising out of: <br />contract or agreement but the written contract or <br />(1) Their financial control of you; or <br />agreement must be: <br />(2) Premises they own, maintain or control <br />1. Currently in effect or becoming effective during the <br />while you lease or occupy these <br />term of this policy; or <br />premises, <br />2. Executed prior to the "bodily injury,' "property <br />This insurance does not apply to structural <br />damage" or "personal injury and advertising injury," but <br />alterations, new construction and demolition <br />Only the following persons or organizations are <br />operations performed by or for such additional <br />additional insureds under this endorsement and <br />insured, <br />coverage provided to such additional Insureds is <br />c. Managers or Lessors of Promises <br />limited as provided herein: <br />A manager or lessor of premises but only with <br />a. State or Political Subdivisions <br />respect to liability arising out of the ownership, <br />A state or political subdivision subject to the <br />maintenance or use of that specific part of the <br />following provisions: <br />premises leased to you and subject to the <br />following additional exclusions: <br />g (1) This Insurance applies only with respect <br />S to the following hazards for which the <br />This insurance does not apply to: <br />state or political subdivision has issued a <br />(1) Any "occurrence" which taxes place <br />permit in connection with premises you <br />after you cease to be a tenant in that <br />own, rent, or control and to which this <br />premises; or <br />insurance applies: <br />� <br />(2) Structural alterations, new construction <br />(a) The existence, maintenance, repair, <br />or demolition operations performed by or <br />construction, erection, or removal of <br />on behalf of such additional insured. <br />advertising signs, awnings, canopies,. <br />cellar entrances, coal hoias, <br />d. Mortgagee, Assignee or Receiver <br />driveways, manholes, marquees, <br />A mortgagee, assignee or receiver but only <br />hoistaway openings, sidewalk vaults, <br />with respect to their liability as mortgagee, <br />R street banners„ or decorations and <br />assignee, or receiver and arising out of the <br />similar exposures; or <br />ownership, maintenance, or use of a premises <br />e (b) The construction, erection, or <br />by you, <br />o removal of elevators; or <br />This insurance does not apply to structural <br />(c) The ownership, maintenance, or use <br />aiterations, now construction or demolition <br />of any elevators covered by this <br />operations performed by or for such additional <br />insurance. <br />insured. <br />= (2) This insurance applies only with respect <br />e. Owners /Other Interests — Land is Leased <br />to operations performed by you or on your <br />An owner or other interest from whom land <br />behalf for which the state or political <br />has been leased by you but only with respect <br />— subdivision has issued a permit. <br />to liability arising out of the ownership. <br />"= This insurance does not apply to "bodily <br />maintenance or use of that specific pan of the <br />injury," "property damage" or "personal <br />land leased to you and subject to the following <br />— and advertising injury" arising out of <br />additional exclusions: <br />operations performed for the state or <br />This insurance does not apply to: <br />municipality. <br />G-1 34802-C <br />Pago 1 of 2 <br />(Ed. 11104) <br />Jqjkk�,— <br />M05—M-38 <br />
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