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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
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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- STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR <br />POLITICAL SUBDIVISION PERMITS - BLANKET <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 <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE <br />A. SECTION II - WHO IS AN INSURED is amended to include as an Additional Insuredyanp state or gozernmental agencp or <br />suqdizision or bolitical suqdizision that has issued a bermit Rx pour oberationsywhen it is re, uired as a condition oP <br />such bermit that the state or gozernmental agencp or suqdizision or bolitical suqdizision qe named as an Additional <br />Insured on this Cblicpyqut onlp with resbect to zicarious liagilitp imbosed on the Additional Insured as a result oPthose <br />oberations berlbrmed qp you or on pour gehalPFbr which the state or bolitical suqdizision has issued the bermitf <br />x owezer: <br />1. "he insurance aFibrded to such Additional Insured onlp abblies to the ej tent bermitted qp law"and <br />2. ; ill not qe groader than that which you are re, uiredyas a condition oPthe bermityto brozide Fbr such Additional <br />Insuredf <br />B. ; ith resbect to the insurance aFibrded to these Additional Insuredsythe Ibllowing additional ej clusions abblp: <br />"his insurance does not abblp to anp: <br />1. 'Bodilpinwrp5y'brobertpdamage5or'bersonal and adzertisinginwrp5arising out oPoberationsberlbrmedFbr <br />the state or municibalitp" <br />2. ' Bodilpinwrp5or' brobertpdamage5 included within the' broducts-combleted oberations ha.ard5" <br />3. 'Bodilpinwrp5y'brobertpdamage5or'bersonal and adzertisinginwrp5arising out oPthe sole negligence oPthe <br />Additional Insured or emblopees oPthe Additional Insured"or <br />4. 'Bodilpinwrp5y'brobertpdamage5or'bersonal and adzertisinginwrp5toanpemblopeeoPthe Named Insured <br />or to anpogligation oPthe Additional Insured to indemniPpanother Because oPdamages arising out oPsuch <br />inwrp or damagef <br />C. A state or bolitical sugdizisionl9 status as an Additional Insured under this endorsement ends when' pour works under <br />such bermit is combletedf <br />D. ; ith resbect to the insurance aRbrded to the Additional Insuredythe Following is added to SECTION III — LIMITS OF <br />INSURANCE: <br />"he most we will bap on gehalPoPthe Additional Insured is the amount oPinsurance: <br />1. Te, uired as a condition oPthe bermit"or <br />2. Azailaqle under the abblicagle limits oPinsurance" <br />whichezer is lessf <br />CA55018 0420 Page 1 of 2 <br />
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