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SASSOON, DR. MAUREEN 2 -2015
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SASSOON, DR. MAUREEN 2 -2015
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Last modified
7/7/2016 5:27:19 PM
Creation date
12/9/2015 7:37:41 AM
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Template:
Contracts
Company Name
SASSOON, DR. MAUREEN
Contract #
N-2015-176
Agency
PERSONNEL SERVICES
Expiration Date
12/31/2016
Insurance Exp Date
7/1/2017
Destruction Year
2021
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Named Insured <br />Endorsement Number <br />Dr. Maureen Sassoon <br />Policy Symbol <br />Policy Number <br />Policy Period <br />ERecllve Date of Endorsement <br />ECP <br />G24270427004 <br />07101/2015 to 07/0112016 <br />07/01/2015 <br />Issued By (Name of Insurance Company) <br />Westchester Surplus Lines Insurance Company <br />Insert the policy number. The remainder of the Information is to be completed only when this endorsement Is issued subsequent to the preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEMENT <br />OWNERS, LESSEES OR CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />CONTRACTOR'S POLLUTION LIABILITY COVERAGE <br />SCHEDULE: <br />Name of Person or Organization: <br />Any person or organization that is an owner of real property or personal property on which you are performing <br />operations, or a contractor on whose behalf you are performing operations, and only at the specificwritten request of <br />such person or organization to you, wherein such request Is made prior to commencement of operations. <br />(If no entry appears above, information required to complete this endorsement will be shown In the Declarations as <br />applicable to this endorsement.) <br />A. SECTION II - WHO IS AN INSURED is amended. to include as an insured the person or organization shown in <br />the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured, <br />B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: <br />2. Exclusions <br />This insurance does not apply to bodily injury or property damage occurring after: <br />(1) All work, including materials, parts or equipment furnished in connection with such work`, on the project <br />(other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) <br />at the site of the covered operations has been completed; or <br />(2) That portion of your work out of which the injury or damage arises has been put to its intended use by <br />any person or organization other than another contractor or subcontractor engaged in performing <br />operations for a principal as a part of the same project. <br />ENV -3100 (08 -04) Includes copyrighted material of Insurance Services Office, Inc. with Its permission Page 1 of�1 <br />(fit <br />
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