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2012-02-14_REVISION - C1981035
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2012-02-14_REVISION - C1981035
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Entry Properties
Last modified
8/24/2016 4:48:38 PM
Creation date
4/3/2012 12:34:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
Revision
Doc Date
2/14/2012
Doc Name
Letter & Application (Emailed)
From
Tom Bird
To
DRMS
Type & Sequence
RN6
Media Type
d
Archive
No
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MR <br />COMMERCIAL GENERAL LIABILITY <br />Limits of Insurance: <br />$2,000,000 Each Occurrence Limit <br />$1,000 „000 Fire Damage Limit (Any One Fire) <br />$ 10,000 Medical Expense Limit (Any One Person) <br />$1,000,000 Person & Advertising Injury Limit (Any One Person or Organization) <br />$4;000;000 General Aggregate Limit (Other Than Products /Completed Operations) <br />$4,000,000 Products /Completed Operations Aggregate Limit <br />Program: Guaranteed Cost <br />Deductible: N/A <br />Company: Zurich American Insurance Company <br />Policy Number: GLO 655 1241 -02 <br />Estimated Premium: See Premium Summary <br />Annual Minimum Premium: N/A <br />Optional Tria: 1% of Estimated <br />Commission: 0% <br />Coverage Form: Commercial General Liability ISO Occurrence Form, CG 00 01 1207 <br />Defense: Defense Costs are Supplementary Payments (subject to policy conditions) <br />Notable Extensions & Terms (Most Current Edition <br />• Common Policy Conditions <br />• Calculation of Premium <br />• Cancellation by Us — Number of Days: 60, 10 for non pay <br />• Knowledge of Occurrence Endorsement <br />• Notice of Error in Claim Reporting Endorsement <br />Employee Benefits Liability Coverage <br />Claims -Made Coverage <br />$1,000,000 Each Employee Limit <br />$1,000;000 Aggregate Limit <br />$1,000 Each Employee Deductible <br />Retroactive Date: 4/13/2005 <br />icable to 12/07 form): <br />IL 0017 <br />I L 0003 <br />U -GL- 1298 -C CW <br />U -GL- 919 -B CW <br />U -GL -922 -B CW <br />CG 04 35 <br />Additional Insured - Automatic - Owners, Lessees or Contractors - Broad U- GL- 1175 -B CW <br />Form (blanket, when required by written contract) <br />• Additional Insured — Vendors (specific) <br />• Waiver of Transfer of Rights of Recovery Against Others to Us <br />blanket, as required by written contract <br />• Contractual Liability Railroads <br />• Composite Rate Endorsement <br />09 162011 Page 4 of 10 <br />CG 20 15 <br />CG 24 04 <br />CG 2417 <br />U -GL 872 <br />
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