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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 />Endarsement Number <br />Dr. Maureen Sassoon <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />ECP <br />G24270427 004 <br />07/01/2015 to 07/01/2016 <br />07101/2015 <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 ontywhen this endorsement is issued subsequentto the preparation of the ptley, <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENDORSEMENT - OWNERS, LESSEES OR CONTRACTORS <br />(PRIMARY AND NON - CONTRIBUTORY) <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 specific written request of <br />such person or organization to you, wherein such request is made prior to commencement of operations, <br />(It no entry appears above, Ini <br />applicable to this endorsement.) <br />SECTION II - WHO IS AN INSURED Is amended to Include: <br />as <br />A. SECTION it - WHO IS AN INSURED is amended to Include as an insured the person or organization shown in the <br />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, pans or equipment furnished In connection with such work, on the project (other <br />than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of <br />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 any <br />person or organization other than another contractor or subcontractor engaged In performing operations for a <br />principal as a part of the same project, <br />C. The coverage provided hereunder shall be primary and not contributing with any other insurance available to those <br />designated above under any other third party liability policy. <br />ENV -3101 (08 -04) Includes copyrighted material of Insurance Services Office, Inc. with Its permission Page I f 1 <br />
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