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GJN4617 4583 4644 Eugene Sand Contract
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GJN4617 4583 4644 Eugene Sand Contract
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Entry Properties
Last modified
10/19/2011 3:45:31 PM
Creation date
5/18/2010 11:00:12 AM
Metadata
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Template:
PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
No
External_View
No
GJN
004583
GL_Project_Number
995354
COE_Contract_Number
2010-00020
Retention_Destruction_Date
10/17/2021
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THIS ENDORSEMENT- CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED OWNERS, LE$tEES 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 anizati n s <br />Location And Description Of Completed Operations <br />-City of Eugene, its officers, agents <br />and employees- <br />Praject4 <br />2010 Pavement Preservation Program, <br />including, Hawkins Lane-Job #4583, 33rd <br />insurance is primary and non-contributory <br />Ave-Job # 4617 and Oakway Road-Job <br />#4655 (Contract 2010-00020) <br />Information required to - lets 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 persop(s) or <br />organizations shown in the 5 <br />es ec for "bodily injury" or "property dam- <br />used e"' ca, in whole or in part, by "your work" at <br />the location deslgnated and described In the sched- <br />ule of this endorsement performed for that additional <br />Insured and included in the "products-completed <br />operations hazard". <br />This endorsement is executed by the <br />Premium $ <br />Effective gate 9-1-09 <br />Pce attachment to Policy No. <br />Atdt Basis <br />Issued To <br />Issued <br />CG 20 37 07 fi4 <br />Expiradon Date 9-1-10 - <br />M-05-004095-119 <br />ttlt ~ <br />PRBSIDHfr!' <br />Countersigned by <br />Authorized RepreserdsUva <br />Sales Office and No. End. Serial No. <br />(0 ISO PranRrtlas Inn Sane <br />
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