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GJN4582 Eugene Sand Gravel
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GJN4582 Eugene Sand Gravel
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Entry Properties
Last modified
10/19/2011 11:33:16 AM
Creation date
5/7/2010 10:24:56 AM
Metadata
Fields
Template:
PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
No
External_View
No
GJN
004582
GL_Project_Number
995344
COE_Contract_Number
2010-00019
Retention_Destruction_Date
8/12/2020
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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 />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Or anlzatlon s <br />Location And Description Of Completed Operations <br />City of Eugene <br />Project: <br />Pavement Bond Measure on Willamette <br />Insurance Is primary and non-contributory <br />Street from 46th.Avenue to 52nd <br />Avenue (Job No, 4582) <br />Information required to q~Mplete this Schedule, if not shown above will be shown In the Declarations. <br />Section 11 - 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 whole or In part, by "your work" at <br />the location designated and described In the sched- <br />ule of this endorsement performed for that additional <br />insured and Included in the "products-completed <br />operatlons hazard". <br />This endorsement is executed by the <br />Premlum $ <br />EfFecliveDate 9-1-09 <br />F" attachment to Policy No. <br />Audit Basis <br />Issued To <br />Issued <br />Expiration Date 9-1-10 <br />TB2-C85-40.4095119 <br />*Ak 71W <br />TARx ~83rDBi`Tr <br />Countersigned by ~ <br />AU1ilOrt29tl Represead-ve <br />Sales Office and No. End. Serial No. <br />C43 20 37 07 04 0 ISO Properties, Inc.. 2004 <br />
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