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Last modified
11/23/2021 1:35:52 PM
Creation date
12/23/2020 3:33:04 PM
Metadata
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Contracts
Company Name
BIG BEN ENGINEERING
Contract #
A-2020-245-03
Agency
Public Works
Council Approval Date
12/1/2020
Expiration Date
11/30/2023
Insurance Exp Date
4/5/2022
Destruction Year
2028
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a <br />�.7, Burr Surplus Lines Insurance n Company <br />Chicago, IL 1-646-227-6300 <br />Primary and Non-contributory, Additional Insured and <br />Waiver of Subrogation <br />Policy Number: 1000066896211 Effective Date: April 5, 2021 at 12.01 A.M. <br />Named Insured: Big Ben, Inc. <br />This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and <br />evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. <br />Commercial General Liability Coverage Form <br />Owners and Contractors Protective Liability Coverage Form <br />Products/Completed Operations Liability Coverage Form <br />Contractors Pollution Liability Coverage Form <br />Professional Liability Coverage Form <br />Site Pollution Liability Coverage Form <br />SCHEDULE <br />Where Required By Written Contract <br />A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in <br />the schedule of this endorsement, but only with respect to liability arising out of "your work" for that insured by or <br />for you. <br />B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property <br />damage" arising out of your negligence when the following written contract requirements are applicable: <br />1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance <br />available to these additional insured's shall apply as excess and not contribute as primary to the insurance <br />afforded by this endorsement. <br />2. We waive any right of recovery we may have against these additional insured's because of payments we <br />make for injury or damage arising out of "your work" done under a written contract with the additional <br />insured. <br />3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall <br />not increase the limits or coverage provided by this insurance. <br />Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance <br />in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or <br />otherwise alter the terms of the actual policy. <br />All other terms and conditions of this Policy remain unchanged. <br />Signed for STARR SURPLUS LINES INSURANCE COMPANY <br />Steve Blakey, Presid6fit Nehemiah E. Ginsburg, Genera Counsel <br />& APPRiavm 9r. <br />�_, n", 0,t <br />SL 023 (06/11) — Rml, A&a .ge —1 Cl efi-1 AadB <br />Copyright © C. V. Starr & Company and Starr Surplus Lines Insurance Company. All rights reserved. <br />Includes copyrighted material of ISO Properties, Inc., used with its permission. <br />
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