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NOTEPAD tNSUREo's NAME Brown Brothers Plumbing and <br />BROWBRO <br />OP lD: DL <br />PAGE 2 <br />12122t2020 <br />following forms apply if required by written/executed contract, before <br />loss:itional Insured for General Liabil:Lty ongoing 6 completed operations <br />Primary & Non-contributory wording: CG7034(07l09) | CG1O24 (03/09) and <br />001 (4/13) . <br />anket Additional Insured applies to Contractors Pollution Liability for <br />going & Completed Operations, when :required by written contract. <br />ignated Insured for Auto Liability: CA2048 (O2/99') . <br />nket Waiver of Subrogation for General Liability: CG7051(06/15). <br />t Waiver of Subrogation for Wor.kers Compensation: WC 000313 (O4/84'l ' <br />Ianket waiver of Subrogation for contractors Pollution Liability. <br />tractorE Pollution Liability: Self-Insured Retention $2,500. <br />tractors PolJ-ution Liability: Includes Motd Liability at $2,000'000. <br />tractors Pollution Liability: MoId deductible $2,500. <br />nket Additional Insured on Automobile Liability, with Prirnary and <br />-contributory wording, Per attached forrn CA300O (07 /LA) . <br />lla follows forrn for General Liability, Automobile Liability and <br />rkers Compensation. <br />DocuSign Envelope ID: 436EBEB0-5FC6-4C32-9B4B-2E3D03020137