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SASSOON, DR. MAUREEN 4
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SASSOON, DR. MAUREEN 4
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Last modified
10/11/2018 8:44:59 AM
Creation date
8/13/2018 10:19:10 AM
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Contracts
Company Name
SASSOON, DR. MAUREEN
Contract #
N-2018-157
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2019
Insurance Exp Date
7/1/2019
Destruction Year
2024
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Named Insured <br />Dr, Maureen Sassoon <br />Endom mentNumber <br />Policy Symbol Policy Number Polley Period Effective Date of Endorsement <br />ECP G24270427007 07/01/2018 to 07/01/2019 07/01/2018 <br />Issued By (Name of Insurance Company) <br />Westchester Surplus Lines Insurance Company <br />Insert the policy number, The remainder oftha Information is to be completed. only When this endorsement is issued subsequent to the preparation or the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS <br />(PRIMARY AND NON-CONTRIBUTORY) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CONTRACTOR'S POLLUTION LIABILITY COVERAGE <br />SCHEDULE: <br />Name of Person or Organization: <br />Any person or organization that is an owner of real property or personal property on which you are performing <br />operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of <br />such person or organization to you, wherein such request is made prior to commencement of operations, <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />SECTION II - WHO IS AN INSURED is amended to include: <br />A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. <br />B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: <br />2. Exclusions <br />This insurance does not apply to bodily injury or property damage occurring after: <br />(1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other <br />than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of <br />the covered operations has been completed; or <br />(2) That portion of your work out of which the injury or damage arises has been put to its intended use by any <br />person or organization other than another contractor or subcontractor engaged in performing operations for a <br />principal as a part of the same project. <br />C. The coverage provided hereunder shall be primary and not contributing with any other insurance available to those <br />designated above under any other third party liability policy. <br />ENV -3101 (08-04) Includes copyrighted material of Insurance Services Office, Inc, withits permission <br />
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