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2014-10-16_GENERAL DOCUMENTS - C1981047
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2014-10-16_GENERAL DOCUMENTS - C1981047
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Last modified
8/24/2016 5:48:57 PM
Creation date
10/20/2014 9:44:06 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1981047
IBM Index Class Name
General Documents
Doc Date
10/16/2014
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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POLICY NUMBER: COMMERCIAL GENERAL LIABILITY <br />CG 20 12 04 13 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - STATE OR GOVERNMENTAL <br />AGENCY OR SUBDIVISION OR POLITICAL <br />SUBDIVISION - PERMITS OR AUTHORIZATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />State Or Governmental Agency Or Subdivision Or Political Subdivision: <br />Information required to complete this Schedule, if not shown above will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured any state or <br />governmental agency or subdivision or political <br />subdivision shown in the Schedule, subject to the <br />following provisions: <br />1. This insurance applies only with respect to <br />operations performed by you or on your behalf <br />for which the state or governmental agency or <br />subdivision or political subdivision has issued a <br />permit or authorization. <br />However: <br />a. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law; and <br />b. If coverage provided to the additional <br />insured is required by a contract or <br />agreement, the insurance afforded to such <br />additional insured will not be broader than <br />that which you are required by the contract <br />or agreement to provide for such additional <br />insured. <br />2. This insurance does not apply to: <br />a. "Bodily injury ", "property damage" or <br />"personal and advertising injury" arising out <br />of operations performed for the federal <br />government, state or municipality; or <br />b. "Bodily injury" or "property damage" <br />included within the "products- completed <br />operations hazard ". <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable Limits of <br />Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable Limits of Insurance shown in the <br />Declarations. <br />CG 20 12 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 <br />
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