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2008-07-14_GENERAL DOCUMENTS - C1989074
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2008-07-14_GENERAL DOCUMENTS - C1989074
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Last modified
8/24/2016 3:34:37 PM
Creation date
7/15/2008 9:45:11 AM
Metadata
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Template:
DRMS Permit Index
Permit No
C1989074
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/14/2008
Doc Name
Certificate of Liability Insurance
To
DRMS
Permit Index Doc Type
Insurance
Email Name
KAG
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" at the location designated; or <br />-? ------`-ii)-thie "products=completed operations ha2ard."- <br />Coverage afforded to these additional insured parties will be primary to, and non- <br />contributory with, any other insurance available to that person or organization. <br />All other terms and conditions of this Policy remain unchanged. <br />Policy Number: 71 PKG2209204 <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: 7/1/2008 <br />00 ML0019 00 11 03 Page 1 of 1
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