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FIELDMAN, ROLAPP & ASSOCIATES 5 -2015
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FIELDMAN, ROLAPP & ASSOCIATES 5 -2015
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Last modified
3/28/2017 11:56:08 AM
Creation date
9/28/2015 2:32:14 PM
Metadata
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Template:
Contracts
Company Name
FIELDMAN, ROLAPP & ASSOCIATES
Contract #
A-2015-123
Agency
PUBLIC WORKS
Council Approval Date
7/7/2015
Expiration Date
12/31/2016
Insurance Exp Date
4/1/2017
Destruction Year
2021
Notes
3/15/16 MEMO ON FILE AUTHORIZING EXTENSION OF THE APPROVED LISTING SELECTION FOR ONE ADDITIONAL YEAR
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS COVERAGE FORM <br />SUMMARY OF COVERAGES Limits <br />Page <br />1. <br />Additional Insured by Contract, Agreement or Permit <br />1 <br />2. <br />Additional Insured — Broad Form Vendors <br />2 <br />3. <br />Alienated Premises <br />2 <br />4. <br />Bodily Injury Redefined <br />2 <br />5. <br />Broad Form Property Damage — Borrowed Equipment, Customers <br />2 <br />Goods and Use of Elevators <br />6. <br />Incidental Malpractice (Employed Nurses, EMT's and Paramedics) <br />3 <br />7. <br />Personal and Advertising Injury — Broad Form <br />3 <br />8. <br />Product Recall Expense $25,000 Occurrence <br />$50,000 Aggregate <br />3 <br />9. <br />Unintentional Failure to Disclose Hazards <br />5 <br />10. <br />Unintentional Failure to Notify <br />5 <br />This endorsement amends coverages provided under the Businessowners Coverage Form through new <br />coverages and broader coverage grants. This coverage is subject to the provisions applicable to the <br />Businessowners Coverage Form, except as provided below. <br />1. Additional Insured by Contract, Agreement or <br />Permit <br />Under SECTION II — LIABILITY, C. Who Is An <br />Insured, Paragraph 4. is added as follows: <br />a. Any person or organization for whom you are <br />performing operations when you and such <br />person or organization have agreed in writing <br />in a contract, agreement or permit that such <br />person or organization be added as an <br />additional insured on your policy. Such person <br />or organization is an additional insured only <br />with respect to liability for "bodily injury", <br />"property damage" or "personal and <br />advertising injury" caused, in whole or in part, <br />by: <br />(1) Your acts or omissions; or <br />(2) The acts or omissions of those acting on <br />your behalf, <br />but only with respect to: <br />(3) "Your work" for the additional insured(s) at <br />the location designated in the contract, <br />agreement or permit; or <br />(4) Premises you own, rent, lease, control or <br />occupy. <br />This insurance applies on a primary basis if <br />that is required by the written contract, <br />agreement or permit. <br />b. This provision does not apply: <br />(1) Unless the written contract or written <br />agreement has been executed or permit <br />has been issued prior to the "bodily injury", <br />"property damage" or "personal and <br />advertising injury "; <br />(2) To any person or organization included as <br />an insured by an endorsement issued by <br />us and made part of this Policy; <br />(3) To any person or organization included as <br />an insured under Item 1.a.2. of this <br />endorsement; <br />(4) To any lessor of equipment: <br />(a) After the equipment lease expires; or <br />(b) If the "bodily injury", "property <br />damage" or "personal and advertising <br />injury" arises out of the sole <br />negligence of the lessor; <br />(5) To any: <br />(a) Owners or other interests from whom <br />land has been leased which takes <br />391 -1006 06 09 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 6 <br />
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