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WP0042198
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LOWER SACRAMENTO
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4200/4300 - Liquid Waste/Water Well Permits
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WP0042198
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Entry Properties
Last modified
7/20/2021 2:15:41 PM
Creation date
7/20/2021 2:12:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0042198
PE
4372
STREET_NUMBER
1679
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95242-
APN
05803029
ENTERED_DATE
6/24/2021 12:00:00 AM
SITE_LOCATION
1679 LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Tags
EHD - Public
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Blanket Additional Insured - Owners, Lessees or <br />Contractors - with Products -Completed <br />Operations Coverage Endorsement <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />It is understood and agreed as follows: <br />I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required <br />by written contract to add as an additional insured on this coverage part, but only with respect to liability for <br />bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or <br />omissions, or the acts or omissions of those acting on your behalf: <br />A. in the performance of your ongoing operations subject to such written contract; or <br />B. in the performance of your work subject to such written contract, but only with respect to bodily injury or <br />property damage included in the products -completed operations hazard, and only if: <br />1. the written contract requires you to provide the additional insured such coverage; and <br />2. this coverage part provides such coverage. <br />II. But if the written contract requires: <br />A. additional insured coverage under the 11-85 edition, 10-93 editkilln,.Gr, 10-01 edition of CG2010, or under the <br />10-01 edition of CG2037; or <br />B. additional insured coverage with "arising out of languageZQ(rNC. additional insured coverage to the greatest extent permby law; <br />s <br />then paragraph I. above is deleted in its entirety and.,replac�d by the following: <br />WHO IS AN INSURED is amended to include as, ,ai.lns6red any person or organization whom you are required <br />by written contract to add as an additional insured.,on this coverage part, but only with respect to liability for <br />bodily injury, property damage or perso a an4i advertising injury arising out of your work that is subject to <br />such written contract. ��a� <br />III. Subject always to the terms and condkiOr►sEof this policy, including the limits of insurance, the Insurer will not <br />provide such additional insured with: <br />A. coverage broader than required by the written contract; or <br />B. a higher limit of insurance than required by the written contract. <br />IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property <br />damage, or personal and advertising injury arising out of: <br />A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, <br />including: <br />1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, <br />surveys, field orders, change orders or drawings and specifications; and <br />2. supervisory, inspection, architectural or engineering activities; or <br />B. any premises or work for which the additional insured is specifically listed as an additional insured on another <br />endorsement attached to this coverage part. <br />V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is <br />amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in <br />this coverage part: <br />CNA75079XX (10-16) Policy No: 6015893246 <br />Page 1 of 2 Endorsement No: <br />Valley Forge Insurance Company Effective Date: 12/01/2020 <br />Insured Name: Salem Engineering Group, Inc. <br />Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />
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