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DocuSign Envelope ID: lA2F6F38-EEE5-4E08-B32B-FD2AF5679B8C <br /> NOTEPAD _ _th _ _ se �w —. PAGE 2 <br /> I hlS UR�[3'S NAME Brawn Brothers Plumbing and OP ID; D E]L nate 1 110712{}'17 <br /> The following forms apply if required by written/executed contract, before <br /> a lass: <br /> Additional Insured for General Liability Ongoing & Completed Operations <br /> and Primary & Non Contributory wording; CG7034(07/09) , CG7024(03/09) and <br /> CG2001(4/13) . <br /> Blanket Additional Insured applies to Contractors Pollution Liability for <br /> Ongoing & Completed Operations, when required by written contract, per <br /> ECC3200712 and ECC5480712. <br /> Designated Insured for Auto Liability; CA2048 (02/99) . <br /> Blanket Waiver of Subrogation for General Liability: CG7051 (06/15) . <br /> Blanket Waiver of Subrogation for Workers Compensation: WC 000313 (04/84) <br /> Blanket Waiver of Subrogation for Contractors Pollution Liability: per <br /> CC3190712. <br /> Contractors Pollution Liability; Self Insured Ratention $10,000. <br /> Contractors Pollution Liability: Mold deductible $25,000. <br /> Umbrella follows form, for General Liability, Automobile Liability, & <br /> Workers Compensation. <br /> A.U, Best Rating A. <br />