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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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1 <br /> NOTICE TO OTHERS ENDORSEMENT SCHEDULE <br /> NOTICE BY INSURER'S REPRESENTATIVE <br /> Ahmed Insured Crown Castle Inc. FdarsementNumber <br /> 3 <br /> Policy:Syt�tbol Policy Number, Policy Period Effective Date of Endorsement <br /> I$A H11357l3� 0410-112026 TO 04/01/2026 <br /> Issued By(Name of Insurance Company) <br /> ACE American Insurance Company <br /> Insert the policy number.The rdmaindor of the information is to bs completed only when this endorsement isissued subsequent to the preparation of'the policy, <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> A. If we cancel this Policy prior to its expiration.date by notice to you or the first Named Insured for any reason other than <br /> nonpayment of premium., we will endeavor, as set out in this endorsement, to send written notice of cancellation, to <br /> the persons or organizations listed in the schedule.that you or your representative Create or maintain (the"Schedule") <br /> by fallowing your representative to.send such notice to such persons or organizations, This notice will be In addition <br /> to our notice to you or the first famed Insured, land any other party whom we are required to notify by statute and in <br /> accordance With the cancellation provisions of the Policy, <br /> B, "rhe notice referenced In this endorsement as provided by your representative is intended only to be a courtesy <br /> notification to the person(s) or organizations) named in the Schedule in the event of a pending cancellation: of <br /> coverage, We have no I"al obligation of any kind to any such person(s) or organ ization(s). The failure to provide <br /> advance notification of cancellation to the person(g) or organization(s) shown in the Schedule will Impose no <br /> obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date <br /> and will not negate any cancellation of the.Polley. <br /> C. We are not responsible for verifying any information in any schedule, nor are we responsible for any incorrect <br /> Irrf'ormation that you or your representative may use, <br /> D. . We will only be responsible for sending such notice to your representative, and your representative will in turn send <br /> the. notice to the persons or organizations listed In the Schedule at least 30 days prior to the cancellation date <br /> applicabiie to the Policy, You will cooperate with us in providing the Schedule, or in causing your representative to <br /> provide the Schedule. <br /> E. This endorsement does not apply in the event that you cancel the Policy. <br /> All other terms and conditions of this Policy remain unchanged. <br /> AtAtkorliied Representative <br /> ALL-32686(01/11) Page 1 of 1 <br />
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