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PSOMAS (2)
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Entry Properties
Last modified
8/19/2024 9:56:35 AM
Creation date
10/4/2022 11:02:32 AM
Metadata
Fields
Template:
Contracts
Company Name
PSOMAS
Contract #
A-2022-158-03
Agency
Public Works
Council Approval Date
8/16/2022
Expiration Date
8/15/2025
Insurance Exp Date
10/15/2024
Destruction Year
2030
Notes
For Insurance Exp. Date see Notice of Compliance
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ENDORSEMENT <br />This endorsement, effective 12:01 A.M. 04/01/2022 forms a part of <br />Policy No.CA4489706 issued to Psomas <br />by NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />SCHEDULE <br />ADDITIONAL INSURED: <br />ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND <br />TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH <br />PERSON'S OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A <br />COVERED AUTO. <br />I. SECTION II - COVERED AUTOS LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is <br />amended to add: <br />d. Any person or organization, shown in the schedule above, to whom you become obligated <br />to include as an additional insured under this policy, as a result of any contract or agreement <br />you enter into which requires you to furnish insurance to that person or organization of the <br />type provided by this policy, but only with respect to liability arising out of use of a covered <br />"auto". However, the insurance provided will not exceed the lesser of: <br />(1) The coverage and/or limits of this policy, or <br />(2) The coverage and/or limits required by said contract or agreement. <br />AUTHORIZED REPRESENTATIVE <br />87950 (9/14) Includes copyrighted information of Insurance Services Office, Inc., <br />with its permission. <br />Rot Mv.gawd Dw. <br />Rfnenm 6 APP 8, <br />g.i <br />?ate �%rts.mx <br />R6kMarugerrvn UmulPotic <br />
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