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JENNIFER BACKHAUS DBA BACKHAUS DANCE (3)
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JENNIFER BACKHAUS DBA BACKHAUS DANCE (3)
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Last modified
6/2/2023 4:56:11 PM
Creation date
11/15/2022 11:40:08 AM
Metadata
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Template:
Contracts
Company Name
JENNIFER BACKHAUS DBA BACKHAUS DANCE
Contract #
N-2021-250-02
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2023
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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S9 * 04/11/2022 * GLP 3961460 01 GREAT AMERICAN ASSURANCE COMPANY <br />*D/B* 072977484 262428 <br />CG 20 41 Additional Insured — Owners, Lessees Or Contractors— Completed Operations Subject To The <br />GeneralAggregate...................................................................................................................................8 <br />CG 20 42 Additional Insured —Automatic Status For Designated Operations .......................................... .............8 <br />CG 20 43 Additional Insured —Automatic Status When Required In Written Contract Or Agreement ..................... ... 8 <br />CG 20 44 Additional Insured —Vendors —Automatic Status When Required In Agreement........................................8 <br />CG 24 54Automatic Insured Status For Newly Acquired Or Formed Limited Liability Companies.................................8 <br />CG 25 45 Designated Project(s) Products -Completed Operations Aggregate Limit.................................................9 <br />CG 25 46 Designated Location(s) Products -Completed Operations Aggregate Limit...............................................9 <br />ENDORSEMENTS THAT ONLY REFLECT A REDUCTION IN COVERAGE ............................................... ........ _...9 <br />CG 2011 Additional Insured — Managers Or Lessors Of Premises....................................................................... <br />9 <br />CG 20 24 Additional Insured —Owners Or Other Interests From Whom Land Has Been Leased..................................9 <br />CG 22 97 Pharmacists — Broadened Coverage................................................................................................9 <br />CG 34 54 Cannabis Exclusion, ................................................................................................... <br />9 <br />CG 34 55 Cannabis Exclusion With Hemp Exception......................................................................................10 <br />CG 40 01 Genetically Modified Organism Exclusion Endorsements...................................................................10 <br />CG 40 02 Genetically Modified Organism Exclusion For Designated Operations Or Products Endorsements.............10 <br />CG 40 03 Exclusion —Athletic Or Sports Participants —AII Contests Or Exhibitions.................................................10 <br />CG 40 04 Exclusion — Earth Movement......................................................................................................10 <br />CG 40 05 Exclusion — Earth Movement— Completed Operations.......................................................................11 <br />CG 40 06 Earth Movement — Exclusion For Designated Operation(s) Or Project(s).............................................11 <br />CG 4010 Exclusion — Cross Suits Liability...................................................................................................11 <br />CG 40 11 Exclusion — Hired Auto Liability...................................................................................................11 <br />CG 4012 Exclusion —All Hazards In Connection With An Electronic Smoking Device, Its Vapor, Component Parts, <br />Equipment And Accessories.....................................................................................................................11 <br />CG 4013 Exclusion — Health Hazards, Electronic Smoking Device Vapor...........................................................11 <br />CG4014 Cannabis Exclusion...................................................................................................................12 <br />CG 4015 Cannabis Exclusion With Hemp Exception. . ...................................... ............................................. 12 <br />CG 4016 Cannabis Exclusion With Hemp And Lessors Risk Exceptions.............................................................12 <br />ENDORSEMENTS THAT REFLECT A REINFORCEMENT OR NO CHANGE IN COVERAGE.... _ ................... ........13 <br />CG 04 36 Limited Product Withdrawal Expense Endorsement ....................................... <. o <br />.IN I�NEWmfi MrmTm Br <br />© Includes copyrighted material of Insurance Services Office, Inc., wi a" 7ou Pie« <br />SDM-1040 (Ed. 12/19) (Page 2 of 15) <br />
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