New Search
• THtS ENDORSEMENT CHANGES TtIE POLICY. PLEASE READ IT CAREFULLY. <br /> • >~?DDlTl4NA,L ~NSU~tE:D - pWNERS LES • . <br /> C@NTRACTORS - COMPL SEES OR . . <br /> ETED ~PE12ATlONS <br /> • This endorsement modifies insurance provided under the following: <br /> . COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additinonal Insured Person s <br /> Or Or anlzation s • ~ ~ Locatlan And Desarlptldn Of Completed Operations <br /> Project: Bailey Hill Rd - W 18th Ave <br /> City :of Eugene ~ to Bertelson Rd <br /> Insurance is primary and non-contributory <br /> <br /> • .Information re aired to c • fete this Schedule, if not shown above, will be shown in the Declarations. <br /> Section U -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 with <br /> respect to liability for "bodily injury" or "property dam- <br /> age° caused, in rivhole or in part, by "your work" at <br /> the location designated and described in the sched- <br /> ule of this endorsement pertormed for that additional <br /> insured and included in the "products-completed <br /> operations hazard". <br /> T'hts endorsement !s executed by the <br /> Premlurn $ <br /> Effective Date g...];,-a8 Expiration Date 9-1-09 <br /> For attachment to Policy No. <br /> Audtt Basis TB2-CB5-0:040.95-118 <br /> issued To ~ - <br /> SEQtETARY~ PRESIDENT' <br /> Countersigned by q~~ , <br /> • ~L%"fir' ~il'iyt/ <br /> IsBUed Authorhed Representative <br /> Sates Office and No. End. Serlal No. <br /> CG 20 37 O7 44 ~ Ten o..,~....:_ _ _ . <br /> <br />