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Entry Properties
Last modified
6/3/2022 11:56:41 AM
Creation date
3/12/2018 11:07:45 AM
Metadata
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Template:
Contracts
Company Name
US NATIONAL CORPORATION
Contract #
A-2018-005
Agency
PUBLIC WORKS
Council Approval Date
1/16/2018
Expiration Date
1/15/2021
Insurance Exp Date
11/14/2022
Destruction Year
2026
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POLICY NUMBER:AES1038365 03 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Additional Insured Person(s) or <br />Or anization s : <br />Location and Description of Completed <br />Operations <br />All persons or organizations where written contract with <br />the Named Insured requires additional insured <br />completed operations coverage. This form does not <br />apply to your work <br />on 'residential property" <br />Information required to complete this Schedule if not shown above will be shown in the Declarations. <br />Section II - Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury" or "property dam- <br />age" caused, in whole or in part, by "your work" at <br />the location designated and described in the sched- <br />ule of this endorsement performed for that additional <br />insured and included in the "products -completed <br />operations hazard". <br />A- av)J • nvS <br />G'I/3 /1 T, P 19e 3 0 7 <br />CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 <br />
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