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Entry Properties
Last modified
8/15/2023 12:44:44 PM
Creation date
7/28/2022 3:57:59 PM
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Contracts
Company Name
JAS PACIFIC
Contract #
A-2022-072-06
Agency
Planning & Building
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Destruction Year
2030
Notes
For Insurance Exp. Date see Notice of Compliance
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Jason Addison Smith Consulting Services, Inc. <br />POLICY# BA-OS426316 <br />Effective: 8/8/2021 to 8/8/2022 <br />COMMERCIAL AUTO <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />BUSINESS AUTO EXTENSION ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any <br />injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or <br />limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to <br />the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- <br />age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- <br />dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. <br />A BROAD FORM NAMED INSURED <br />B, BLANKET ADDITIONAL INSURED <br />C. EMPLOYEE HIRED AUTO <br />D. EMPLOYEES AS INSURED <br />E SUPPLEMENTARY PAYMENTS -INCREASED <br />LIMITS <br />F. HIRED AUTO - LIMITED WORLDWIDE COV- <br />ERAGE - INDEMNITY BASIS , <br />G. WAIVER OF DEDUCTIBLE - GLASS <br />PROVISIONS <br />A. BROAD FORM NAMED INSURED <br />The following is added to Paragraph A.1:, Who Is <br />An Insured, of SECTION II - COVERED AUTOS <br />LIABILITY COVERAGE: <br />Any organization you newly acquire or form dur- <br />ing the policy period over which you maintain <br />50% or more ownership interest and that is not <br />separately insured for Business Auto Coverage. <br />Coverage under this provision is afforded only un- <br />til the 180th day after you acquire or form the or- <br />ganization or the end of the policy period, which- <br />ever is earlier. <br />B BLANKET ADDITIONAL INSURED <br />The following is added to Paragraph c. in A.1., <br />Who Is An Insured, of SECTION II - COVERED <br />AUTOS LIABILITY COVERAGE: <br />Any person or organization who is required under <br />a written contract or agreement between you and <br />that person or organization, that is signed and <br />executed by you before the "bodily injury" or <br />"property damage occurs and that is h effect <br />during the policy period, to be named as an addi- <br />tional insured is an "insured" for Covered Autos <br />Liability Coverage, but only for damages to which <br />H HIRED AUTO PHYSICAL DAMAGE - LOSS OF <br />USE - INCREASED LIMIT <br />I. PHYSICAL DAMAGE - TRANSPORTATION <br />EXPENSES - INCREASED LIMIT <br />J. PERSONAL PROPERTY <br />K AIRBAGS <br />L. NOTICE AND KNOWLEDGE OF ACCIDENT OR <br />LOSS <br />M. BLANKET WAIVER OF SUBROGATION <br />N UNINTENTIONAL ERRORS OR OMISSIONS <br />this insurance applies and only to the extent that <br />person or organization qualifies as an "insured" <br />under the Who Is An Insured provision contained <br />in Section II. <br />C. EMPLOYEE HIRED AUTO <br />1. The following is added to Paragraph A.1., <br />Who Is An Insured, of SECTION II - COV- <br />ERED AUTOS LIABILITY COVERAGE: <br />An "employee" of yours is an "insured" while <br />operating an "auto" hired or rented under a <br />contract or agreement in an "employee's" <br />name, with your permission, while performing <br />duties related to the conduct of your busi- <br />ness. <br />2 The following replaces Paragraph b. in B.5., <br />Other Insurance, of SECTION IV - BUS[ <br />NESS AUTO CONDITIONS: <br />b. For Hired Auto Physical Damage Cover- <br />age, the following are deemed to be cov- <br />ered "autos" you own: <br />(1) Any covered "auto" you lease, hire, <br />rent or borrow; and <br />(2) Any covered "auto" hired or rented by <br />your "employee" under a contract in <br />an "employee's" name, with your <br />CA 73 53 0215 ©2015 The Travelers Indemnity Company. All rights reserved. <br />Includes copyrighted material of Insurance Services Office, Inc. with its permission. <br />c' <br />Rick ManagematDWIon <br />RtviE & APPROVED BY. <br />`'JoitS��tf <br />A+.uAawula <br />® <br />Risk Management Spedafrt <br />
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