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HJELMSTROM & ASSOCIATES dba BTI APPRAISAL
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HJELMSTROM & ASSOCIATES dba BTI APPRAISAL
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8/28/2020 11:14:27 AM
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Contracts
Company Name
HJELMSTROM & ASSOCIATES dba BTI APPRAISAL
Contract #
A-2015-158-04
Agency
Public Works
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CG D1 86 11 03 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br />CAREFULLY. <br />XTEND ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. The <br />following listing is a general coverage description only. Limitations and exclusions may apply to <br />these coverages. Read all the PROVISIONS of this endorsement carefully to determine rights.. <br />duties, and what is and is not covered. <br />A. Broadened Named Insured <br />B. Damage To Premises Rented To You <br />Extension <br />• Perils of fire, explosion, lightning, <br />smoke, water <br />• Limit increased to $300,000 <br />C. Blanket Waiver of Subrogation <br />D. Blanket Additional Insured — Managers or <br />Lessors of Premises <br />E. Blanket Additional Insured — Lessor of <br />Leased Equipment <br />F. Incidental Medical Malpractice <br />G. Personal Injury —Assumed by Contract <br />H. Extension of Coverage— Bodily Injury <br />PROVISIONS <br />A. BROADENED NAMED INSURED <br />1. Injury to Co -Employees <br />J. Aircraft Chartered with Crew <br />K. Non -Owned Watercraft— Increased <br />from 25 feet to 50 feet <br />L. Increased Supplementary Payments <br />• Cost for bail bonds increased to $2,500 <br />• Loss of earnings increased to $500 per <br />day <br />M. Knowledge and Notice of Occurrence <br />or Offense <br />N. Unintentional Omission <br />O. Reasonable Force — Bodily Injury or <br />Property Damage <br />1. The Named Insured in Item 1. of the Declarations is as follows: <br />The person or organization named in Item 1. of the Declarations and any organization. <br />other than a partnership or joint venture. over Mich you maintain ownership or majority <br />interest on the effective date of the policy. However, coverage for any such organization <br />will cease, as of the date, during the policy period. that you no longer maintain ownership <br />of, or majority interest in, such organization. <br />2. WHO IS AN INSURED (Section 11) Item 4.a. is deleted and replaced by the following: <br />a. Coverage under this provision is afforded only until the 180th day after you acquire or <br />form the organization or the end of the policy period, whichever is earlier, unless <br />reported in carding to us Wthin 180 days. <br />3. This Provision A. does not apply to any person or organization for which coverage is <br />excluded by endorsement. <br />B. DAMAGE TO PREMISES RENTED TO YOU EXTENSION REVIEWED & APPROVED <br />fay Risk MANAGe}xNr Division <br />-FR gILLARELALFRANC <br />
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