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SASSOON, DR. MAUREEN - 2017
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SASSOON, DR. MAUREEN - 2017
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Last modified
2/14/2018 3:06:19 PM
Creation date
3/17/2017 12:14:51 PM
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Contracts
Company Name
SASSOON, DR. MAUREEN
Contract #
A-2017-040
Agency
Personnel Services
Council Approval Date
2/21/2017
Expiration Date
6/30/2018
Insurance Exp Date
7/1/2018
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Named Insured <br />Dr. Maureen Sassoon <br />Endorsement Number <br />Policy Symbd Poky Number Poky Period <br />Effective pate of Endorsement <br />ECP 624270427 006 07/0112017 to 07/0112018 <br />0710112017 <br />Issued By (Name of Insurance Company) <br />Westchester Surplus Lines Insurance Company <br />Insert the policy number_ The remalnder of the Information is to be completed only when this endorsesneni is issued subsequent to the preparation ofthe poricy. <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 modes 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 />(If no entry appears above, information required to complete this endorsement will be shown in the neniarafinm nG <br />applicable to this endorsement.) <br />SECTION II - WHO IS AN INSURED is amended to include: <br />A. SECTION 11 - 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 />S. With respect to the insurance afforded to these additional insureds, the following exclusion is added.- <br />2. <br />dded: <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 (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 mterial of Insurance Services Office, Inc. with its perp fission <br />V�\V <br />Page i of 1 <br />
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