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GENERAL36408
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GENERAL36408
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Entry Properties
Last modified
8/24/2016 7:56:58 PM
Creation date
11/23/2007 8:44:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
General Documents
Doc Date
7/5/2006
Doc Name
Certificate of Liability
To
DMG
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -AUTOMATIC STATUS WHEN REQUIRED IN <br />CONSTRUCTION AGREEMENT WITH YOU -COMPLETED OPERATIONS - <br />PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />Section II -Who is an Insured is amended to include as an insured any person or <br />organization for whom you are performing operations when you and such person or <br />organization have agreed in writing in a contract or agreement that such person or <br />organization is an additional insured on your policy. Such person or organization is an <br />additional insured only with respect to liability arising out of: <br />- i) "your work"-atthe°location designated; or ~` - - <br />ii) the "products-completed operations hazard." <br />Coverage afforded to these additional insured parties will be primary to, and non- <br />contributorywith, any other insurance available to that person or organization. <br />All other terms and conditions of this Policy remain unchanged. <br />Policy Number: 7/1/2006 <br />Named Insured: American Civil Constructors, Inc. <br />This endorsement is effective on the inception date of this Policy unless otherwise <br />stated herein: <br />Endorsement Effective Date: <br />~ja..aa- ~ ~~ <br />Authorized Representative <br />00 ML0019 00 11 03 Page 1 of 1 <br />
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