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SR0084185 (4)
Environmental Health - Public
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2900 - Site Mitigation Program
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SR0084185 (4)
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Last modified
10/27/2022 4:10:35 PM
Creation date
10/27/2022 3:47:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
WORK PLANS
RECORD_ID
SR0084185
PE
2903
FACILITY_ID
FA0026300
FACILITY_NAME
LINCOLN CENTER ENVIRONMENTAL REMEDIATION TRUST
STREET_NUMBER
6471
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741079
ENTERED_DATE
9/7/2021 12:00:00 AM
SITE_LOCATION
6471 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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(2) If the Limits of Insurance of any other insurance policy have been exhausted; or <br /> (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the <br /> organization. <br /> 2. EMPLOYEES AS INSUREDS <br /> SECTION II - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include <br /> the following as an insured: <br /> f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but <br /> only for acts within the scope of their employment by you. Insurance provided by this endorse- <br /> ment is excess over any other insurance available to any "employee". <br /> g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract <br /> or agreement in that "employee's" name, with your permission, while performing duties re- <br /> lated to the conduct of your business and within the scope of their employment. Insurance <br /> provided by this endorsement is excess over any other insurance available to the "employee". <br /> 3. ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT <br /> SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include <br /> the following as an insured: <br /> h. Any person or organization with respect to the operation, maintenance or use of a covered <br /> "auto", provided that you and such person or organization have agreed in a written contract, <br /> agreement,or permit issued to you by governmental or public authority,to add such person,or <br /> organization,or governmental or public authority to this policy as an "insured". <br /> However,such person or organization is an "insured": <br /> (1) Only with respect to the operation,maintenance or use of a covered "auto"; <br /> (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes <br /> place after you executed the written contract or agreement, or the permit has been <br /> issued to you; and <br /> (3) Only for the duration of that contract,agreement or permit <br /> 4. SUPPLEMENTARY PAYMENTS <br /> SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- <br /> graphs(2)and(4)are replaced by the following: <br /> (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations) required <br /> because of an "accident" we cover.We do not have to furnish these bonds. <br /> (4) All reasonable expenses incurred by the insured at our request, including actual foss of earn- <br /> ings up to$500 a day because of time off from work. <br /> 5. AMENDED FELLOW EMPLOYEE EXCLUSION <br /> In those jurisdictions where, by law,fellow employees are not entitled to the protection afforded to <br /> the employer by the workers compensation exclusivity rule, or similar protection, the following <br /> provision is added: <br /> SECTION II - LIABILITY, exclusion B.5. FELLOW EMPLOYEE does not apply if the "bodily injury" <br /> results from the use of a covered "auto" you own or hire. <br /> SECTION III-PHYSICAL DAMAGE COVERAGE is amended as follows: <br /> B. HIRED AUTO PHYSICAL DAMAGE <br /> Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended <br /> by adding the following: <br /> If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified <br /> Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any <br /> "auto" you own,then the Physical Damage coverages provided are extended to "autos": <br /> a. You hire,rent or borrow; or <br /> 0 2013 Liberty Mutual Insurance <br /> CA 8810 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 2 of 7 <br />
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