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T.E. ROBERTS, INC.
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Last modified
5/26/2016 1:25:28 PM
Creation date
10/29/2014 10:47:31 AM
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Contracts
Company Name
T.E. ROBERTS, INC.
Contract #
A-2014-230
Agency
PUBLIC WORKS
Council Approval Date
9/16/2014
Expiration Date
9/16/2017
Insurance Exp Date
9/1/2016
Destruction Year
2022
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6014373100 <br />T. E. Roberts, Inc. G -140331-D <br />(Ed. 01/13) <br />BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br />WITH PRODUCTS -COMPLETED OPERATIONS COVERAGE <br />It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE <br />PART as follows: <br />SCHEDULE (OPTIONAL) <br />IName of Additional Insured Persons Or Organizations <br />I (As required by "written contract" per Paragraph A. below.) I <br />Locations of Covered Operations <br />(As per the "written contract," provided the location is within the "coverage territory" of this Coverage Part.) <br />A. Section 11 - Who Is An Insured is amended to include as an additional insured-, <br />1. Any person or organization whom you are required by "written contract" to add as an additional insured on <br />this Coverage Part; and <br />2. The particular person or organization, if any, scheduled above. <br />B. The insurance provided to the additional insured is limited as follows: <br />1. The person or organization is an additional insured only with respect to liability for "bodily injury,' "property <br />damage," or "personal and advertising injury" caused in whole or in part by: <br />a. Your acts or omissions, or the acts or omissions of those acting on your behalf, In the performance of <br />your ongoing operations specified in the "written contract"; or <br />b.. "Your work" that is specified In the "written contract" but only for "bodily injury" or "property damage" <br />included In the "products -completed operations hazard," and only if: <br />(1) The "written contract" requires you to provide the additional insured such coverage; and <br />(2) This Coverage Part provides such coverage, <br />2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 <br />edition of CG201 0 (aka CG 20 10 10 01), or via the 10/01 edition of CG2037 (aka CG 20 37 10 01), or via <br />the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph B.I. above, the words 'caused in <br />whole or in part by' are replaced by the words 'arising out of'. <br />3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: <br />a. The maximum permitted by law; <br />b. That required by the "written contract"; <br />c. That described in B-11. above; or <br />d. That afforded to you under this policy, <br />whichever is less. <br />4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is <br />excess of all other insurance available to the additional insured whether on a primary, excess, contingent or <br />G -140331-D (Ed. 01/13) <br />Page 1 of 2 <br />Copyright, CNA All Rights Reserved. 12 is <br />26229525 1 15/16 rL/AU/UMB/WC I Annette Romero 1 9/1/20157i4O:41 AM (PDT) I Page 14 of 15 <br />This certificate cancels and supersedes ALL previously issued certificates. <br />
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