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JENNIFER BACKHAUS DBA BACKHAUS DANCE (2)
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JENNIFER BACKHAUS DBA BACKHAUS DANCE (2)
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Last modified
6/13/2022 10:28:46 AM
Creation date
6/13/2022 10:25:50 AM
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Contracts
Company Name
JENNIFER BACKHAUS DBA BACKHAUS DANCE
Contract #
N-2021-250-01
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2022
Insurance Exp Date
6/3/2023
Destruction Year
2027
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* S9 * 04/11/2022 * GLP 3961460 01 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />2019 GENERAL LIABILITY MULTISTATE ENDORSEMENT REVISION - COMMERCIAL <br />GENERAL LIABILITY ADVISORY NOTICE TO POLICYHOLDERS <br />This is a summary of the potential changes in your policy. No coverage is provided by this summary nor can it be construed <br />to replace any provision of your policy. You should read your policy and review your Declarations page for complete <br />information on the coverages you are provided. If there is any conflict between the policy and this summary, THE <br />PROVISIONS OF THE POLICY SHALL PREVAIL. <br />The major areas within the policy that broaden or reduce coverage, and other changes, are highlighted below. This notice <br />does not reference every editorial change made in your policy. Carefully read your policy, including the endorsements <br />attached to your policy. <br />Please note that not all the forms listed below may be on your policy. <br />This Notice provides information concerning the following new and revised endorsements, which applies to your renewal <br />policy being issued by us: <br />ENDORSEMENTS WITH EITHER BROADENINGS OR REDUCTIONS IN COVERAGE............................................5 <br />CG 04 71 Electronic Data Liability — Limited Bodily Injury Exception Not Included... .............. .......... ......... ........... <br />5 <br />CG 04 72 Electronic Data Liability Coverage (Coverage A) With Access Or Disclosure Of Confidential Or <br />Personal Information Exclusion (Coverage B)...............................................................................................5 <br />CG 2017 Additional Insured — Unit -owners Of Townhouse Or Homeowner Associations...........................................6 <br />CG 2131 Limited Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance Program ..............6 <br />CG 2154 Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance Program. ...................... <br />6 <br />CG 22 36 Exclusion — Limited Products And Professional Services—Pharmacists..................................................6 <br />CG 22 69 Pharmacists.. .................................................................. <br />6 <br />CG 2302 Exclusion —Professional Services—Pharmacists................................................................................7 <br />CG 2303 Exclusion —Professional Services —Optical And Hearing Aid Establishments............................................7 <br />CG 40 07 Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance Program — <br />Limited Exception For Additional Insureds......................................................................................................7 <br />CG 40 08 Limited Exclusion — Designated Operations Covered By A Controlled (Wrap-up) Insurance <br />Program — Limited Exception For Additional Insureds........................................................................................7 <br />CG 40 09 Amendment Of Liquor Liability Exclusion — Limited Exception For Bring Your Own Alcohol ..........................7 <br />THAT ONLY REFLECT A BROADENING IN COVERAGE..........................................................8 <br />CG 20 39 Additional Insured — Owners, Lessees Or Contractors —Automatic Status When Required In <br />Written Construction Agreement With You (Completed Operations).....................................................................8 <br />CG 20 40 Additional Insured — Owners, Lessees Or Contractors — Automatic Status For Oth <br />Required In Written Construction Agreement (Completed Operations) .................. <br />........ OIL <br />R w &Aw Er %sl PlCLJOH � <br />© Includes copyrighted material of Insurance Services Office, Inc., with its pr <br />SDM-1040 (Ed.12119) (Page 1 of 15) <br />
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