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WP0041565
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4200/4300 - Liquid Waste/Water Well Permits
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WP0041565
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Last modified
6/7/2021 2:55:23 PM
Creation date
6/7/2021 2:53:07 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0041565
PE
4372
STREET_NUMBER
16775
Direction
S
STREET_NAME
HOWLAND
STREET_TYPE
RD
City
LATHROP
Zip
95330-
APN
19814004
ENTERED_DATE
12/29/2020 12:00:00 AM
SITE_LOCATION
16775 S HOWLAND RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\tsok
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EHD - Public
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POLICY NUMBER: GL00184640-05 <br />COMMERCIAL GENERAL LIABILITY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Persons) <br />Or Organ izations : <br />if <br />Section II —Who Is An Insured is amended to in- <br />clude as an additional insured the persons) or <br />Location And Description Of Completed Operations <br />Any person or organization, other than an architect, <br />Any Location or project <br />engineer or surveyor, whom you are required to add as <br />an additional insured under this policy under a written <br />contract or written agreement executed prior to loss, <br />except where such requirement is prohibited by law. <br />Information required to complete this <br />Schedule, <br />if not shown above, will be shown in the Declarations. <br />or- <br />ganization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury" or "property <br />damage" caused, in whole or in part, by "your work" <br />at the location designated and described in the <br />schedule of this endorsement performed for that <br />additional insured and included in the products -com- <br />pleted operations hazard". <br />The insurance afforded to such additional insured only <br />applies to the extent permitted by law. <br />U -GL -1114-A CW (10/02) <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission <br />Page 1 of 1 <br />
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