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NATIONAL SAFETY SERVICES
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Last modified
4/23/2021 3:55:40 PM
Creation date
10/28/2020 9:28:15 AM
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Template:
Contracts
Company Name
NATIONAL SAFETY SERVICES
Contract #
N-2020-178
Agency
Public Works
Expiration Date
10/9/2021
Insurance Exp Date
2/1/2022
Destruction Year
2026
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POLICY NUMBER: EPK133928 <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 Person(s) or <br />Organization(s): <br />Location And Description Of Completed <br />Operations <br />Blanket When Specifically Required In A Written <br />Blanket When Specifically Required In A Written <br />Contract With The Named Insured. <br />Contract With The Named Insured. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the <br />person(s) or organization(s) shown in the Schedule above, but only with respect to liability arising out of <br />"your work" at the location designated and described in the Schedule above performed for that additional <br />insured and included in the "products -completed operations hazard". <br />ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br />E N 0350-0217 <br />o NSF Risk MwaganentDMsian <br />z <br />REVIEWED & APPROVED BY.- <br />-��" Risk Management Analyst <br />
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