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Last modified
4/17/2025 9:18:52 AM
Creation date
4/17/2025 9:12:40 AM
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Contracts
Company Name
CCTM1 LLC
Contract #
A-2025-025
Agency
Public Works
Council Approval Date
3/18/2025
Expiration Date
3/31/2035
Insurance Exp Date
4/1/2026
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ADDITIONAL INSURED <br /> DESIGNATED PERSONS OR.ORGANIZATIONS <br /> Named Insured Crown Castle Inc. Endorsement Number <br /> 1 <br /> Policy Symbol Polloy Number policy Period Effective Date of Endorsement <br /> ISA I H11357131 04101I2025 TO 04/01/2026 <br /> Issued Sy(Name of Insurance Company) <br /> ACE Arnerican.insurance Company <br /> Insert She polloy number.The remaindor of thi Information is io be completed only when this endorsement is issued subsequemHo the preparation of the policy. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO. COVERAGE FORM <br /> AUTO DEALERS:COVERAGE FORM <br /> MOTOR CARRIER COVERAGE FORM <br /> EXCESS BUSINESS AUTO COVERAGE FORM <br /> Additional Insureds) Any, person..or oLganization whom you.have agreed to include as en additional insured <br /> under o tr cf rrir dod such contr was executed prig to the date of loss. <br /> A, For a covered"auto,"Who is Insured. Is amended to include as an"Insured,"the persons or organizations <br /> gamed in this endomerrlent. However, these persons or organizations are an."Insured"only for"bodily <br /> injury or"property damage" resulting from acts or omissions of: <br /> 1.. You. <br /> 2. Any of your"employees"or agents. <br /> 3. Any person operating a covered"auto with permission from you,any of your"employees"or agents. <br /> B: The persons or organizations reamed in this endorsement are not liable for payment o re... tr <br /> Authorlmd Representative <br /> pA-oumc(03/16) Page t of 1 <br />
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