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25I - AGMT STAFFING SERVICES
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25I - AGMT STAFFING SERVICES
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Last modified
5/31/2018 8:00:10 PM
Creation date
5/31/2018 7:48:36 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Personnel Services
Item #
25I
Date
6/5/2018
Destruction Year
2023
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POLICYNUMBER: ' PRA590849205 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 26 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED <br />PERSON OR ORGANIZATION <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 Organization(s) <br />Any person or organization who you are required to add as an additional insured on this policy under <br />a contract or agreement shall be an Insured, but only with respect to that person's or organization's <br />liability arising out of your operations as a "Staffing Service" or premises owned by or rented to you. <br />Informal on required to complete this Schedule, if not shown above, will be shown in the Declaretions. <br />Section 11 . Who Is An Insured is amended to include as <br />an additional insured the person(s) or organization(s) <br />shown in the Schedule, but only with respect to liability <br />for "bodily injury", 'property damage° or "personal and <br />advertising Injury' caused, in whole or in part, by your <br />acts or omissions or the acts or omissions of those acting <br />on your behalf: <br />A. In the performance of your ongoing operations; or <br />B. In connection with your premises owned by or rented <br />to you. <br />CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of I <br />251-102 <br />
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