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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2024_PS-2400501 thru PS-2401000_ - PS-2400916
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Permits & Development - Encroachment(EP)/Driveway(DW) Permits - 2024_PS-2400501 thru PS-2401000_ - PS-2400916
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Last modified
3/29/2024 12:49:04 PM
Creation date
3/29/2024 12:44:10 PM
Metadata
Fields
Template:
Permits_Development
DocName
PS-2400916
Category07
Encroachment(EP)/Driveway(DW) Permits
Year2
2024
Notes2
E/S of Cottage Ave. 121' N/O Southland Rd.
Type - Permit Process
Trench
Address
4907 Griffin Rd., Hughson,CA 95326
Application
Rory Leam Backhoe
Supplemental fields
Cross Ref
PWP7110005
Type (2)
Encroachment Permit (EP)
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED <br />OPERATIONS <br />Attached To and Forming Part of Policy <br />Effective Date of Endorsement <br />Named Insured <br />0100155334-2 <br />06/29/2023 12:01AM at the Named <br />Leam Backhoe & Underground <br />Insured address shown on the Declarations <br />Additional Premium: <br />Return Premium: <br />$0 <br />$0 <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) or Organization(s) <br />Location and Description of Completed Operations <br />Blanket, as required by written contract, executed prior to <br />the start of work on the project. <br />Locations as required and specified by written contract, <br />executed prior to the start of work on the project. <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 <br />included in the "products -completed operations <br />hazard". <br />However: <br />1. The insurance afforded to such additional <br />insured only applies to the extent permitted <br />by law, and <br />2. If coverage provided to the additional insured <br />is 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 />ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br />CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 <br />
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