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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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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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ADDITIONAL INSURED ENDORSEMENT — PRODUCTS - COMPLETED OPERATIONS HAZARD <br />Named Insured <br />Endorsement Number <br />Dr. Maureen Sassoon <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />ECP <br />624270427 QQ4 <br />07/01/2015 to 0710112016 <br />07/01/2015 <br />Issued By (Name of Insurance Company) <br />Westchester Surplus Lines Insurance Company <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />CONTRACTOR'S POLLUTION LIABILITY COVERAGE PART <br />SCHEDULE <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 />(If no entry appears above, Information required to complete this endorsement will be shown in the Declarations as <br />applicable to this endorsement.) <br />Section II — Who Is An Insured Is amended to Include as an additional insured the person(s) or organization(s) shown In <br />the Schedule, but only with respect to liability for bodily injury or property damage Caused, in whole or in part, by your <br />work performed for that additional Insured and Included In the products- completed operations hazard. <br />All otherterms and conditions remain the same. <br />ENV -3225 (10 -08) <br />Copyright 0 2008N <br />Page 1 of1� <br />
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