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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2023_PS-2302001 thru PS-2302500_ - PS-2302003
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2023_PS-2302001 thru PS-2302500_ - PS-2302003
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Last modified
11/8/2023 9:14:35 AM
Creation date
11/8/2023 9:11:47 AM
Metadata
Fields
Template:
Permits_Development
DocName
PS-2302003
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2023
Notes2
Roth Rd. E/O Lathrop City Limits
Address
PO Box 1270, Verdi,NV 89439
Application
Roadsafe Traffic System-UPRR
Type
Traffic Control Devices
Supplemental fields
Cross Ref
PWP7110005
Type (2)
Encroachment Permit (EP)
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POLICY NUMBER: 172-90-18 <br />EFFECTIVE: 10/03/2022 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 12 19 <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 />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization(s) <br />Location And Description Of Completed Operations <br />Any Person or Organization whom you become <br />obligated to include as an Additional Insured as <br />a result of any Contract or Agreement you have <br />entered into. <br />Per the Contract or Agreement <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for 'bodily injury" or <br />"property damage" caused, in whole or in part, by <br />"your work" at the location designated and <br />described in the Schedule of this endorsement <br />performed for that additional insured and included <br />in the "products -completed operations hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2. If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B. With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section III — Limits Of Insurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1. Required by the contract or agreement; or <br />2. Available under the applicable limits of <br />insurance; <br />whichever is less. <br />This endorsement shall not increase the <br />applicable limits of insurance. <br />CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 <br />
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