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Last modified
11/4/2024 2:39:06 PM
Creation date
11/4/2024 2:38:56 PM
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Template:
Contracts
Company Name
BLUEVIOLET NETWORKS
Contract #
A-2024-160
Agency
Public Works
Council Approval Date
10/1/2024
Expiration Date
9/30/2027
Insurance Exp Date
6/15/2025
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AUTO POLICY <br /> TRAVELERSJIk <br /> POLICY NUMBER: Y-810-0R561251-TCT-24 <br /> EFFECTIVE DATE: 06-15-24 <br /> ISSUE DATE: 05-16-24 <br /> LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br /> THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS <br /> BY LINE OF BUSINESS. <br /> IL TO 02 11 89 COMMON POLICY DECLARATIONS <br /> IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS <br /> IL TO 01 01 07 COMMON POLICY CONDITIONS <br /> IL T3 02 07 86 CALCULATION OF PREMIUM-COMPOSITE RATE(S) <br /> IL T8 00 NAMED INSURED <br /> IL T8 25 GENERAL PURPOSE ENDORSEMENT <br /> COMMERCIAL AUTOMOBILE <br /> CA TO 01 02 15 BA- COVERAGE PART DECS (ITEMS 1 & 2) <br /> CA TO 03 02 15 BA COVERAGE PART DECS (ITEMS 4 & 5) <br /> CA T4 87 10 13 TERMINOLOGY CHANGES <br /> CA TO 30 02 16 BA/AD/MC COV PART SUPPL SCH - ITEM TWO <br /> CA TO 31 02 15 TABLE OF CONTENTS-BUSINESS AUTO COV FORM <br /> CA 00 01 10 13 BUSINESS AUTO COVERAGE FORM <br /> MM 99 11 10 13 MA MANDATORY ENDORSEMENT <br /> MM 99 39 10 13 LOSS OF USE/RNTAL REIMBURSE COV - MA <br /> MCS 90 END FOR MTR CAR POL OF INS FOR PUB LIAB <br /> CA FO 73 02 15 TENNESSEE EXCEPTION - LOSS PAYABLE CLAUS <br /> CA F2 66 01 21 MARYLAND CHANGES <br /> CA T4 42 08 17 DESGN INSD LIAB COV-PNC W/ OTHR INS <br /> CA T4 52 02 16 SHRT TRM HRD AUTO - ADDT'L INSD LS PAYEE <br /> CA T4 59 02 15 AMENDMENT OF EMPLOYEE DEFINITION <br /> CA T4 99 02 16 BLNKT ADDL INSD-PNC W/OTHR INS-CNTRCTR <br /> CA 01 06 10 13 MD CHANGES - COLLISION COV. IN MEXICO <br /> CA 01 09 10 13 GEORGIA CHANGES <br /> CA 01 16 01 22 VIRGINIA CHGS-BUSINESS AUTO COVERAGE <br /> CA 01 18 11 13 IDAHO CHANGES <br /> CA 01 20 01 15 ILLINOIS CHANGES <br /> CA 01 26 10 13 NORTH CAROLINA CHANGES <br /> CA 01 28 01 21 FLORIDA CHANGES <br /> CA 01 34 10 13 MAINE CHANGES <br /> CA 01 35 10 13 WASHINGTON CHANGES <br /> CA 01 43 05 17 CALIFORNIA CHANGES <br /> CA 01 46 10 13 TENNESSEE CHANGES <br /> CA 01 50 09 23 SOUTH CAROLINA CHANGES <br /> CA 01 59 05 17 UTAH CHANGES <br /> CA 01 75 10 13 ARIZONA CHANGES <br /> CA 01 77 10 13 DELAWARE CHANGES <br /> CA 01 80 03 21 PENNSYLVANIA CHANGES <br /> CA 01 96 10 13 TEXAS CHANGES <br /> CA 04 24 10 13 CA AUTO MEDICAL PAYMENTS COVERAGE <br /> CA 04 44 10 13 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br /> CA 20 01 10 13 LESSOR - ADDL INSURED AND LOSS PAYEE <br /> CA 20 55 10 13 FELLOW EMPLOYEE COVERAGE <br /> IL T8 01 10 93 PAGE: 1 OF 3 <br /> APPROVED <br /> By Cynthia Mora at 8:13 am,Oct 31,2034 <br />
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