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2022-643-E-AMS-WB Brawley Company-WCOB_3rd Floor Minor Upfit Components
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2022-643-E-AMS-WB Brawley Company-WCOB_3rd Floor Minor Upfit Components
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Last modified
12/23/2022 8:05:28 AM
Creation date
12/23/2022 8:04:54 AM
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Contract
Date
12/15/2022
Contract Starting Date
12/15/2022
Contract Ending Date
12/22/2022
Contract Document Type
Contract
Amount
$10,000.00
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Includes copyrighted material of Insurance <br />GA 233 09 17 <br />Services Office, Inc., with its permission.Page 1 of 17 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CONTRACTORS'COMMERCIAL GENERAL LIABILITY <br />BROADENED ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />A. Endorsement - Table of Contents: <br />Coverage:Begins on Page: <br />1. Employee Benefit Liability Coverage <br />.......................................................................................3 <br />2. Unintentional Failure To Disclose Hazards <br />.............................................................................9 <br />3. Damage To Premises Rented To You <br />......................................................................................9 <br />4. Supplementary Payments <br />......................................................................................................10 <br />5. Medical Payments <br />...................................................................................................................10 <br />6. 180 Day Coverage For Newly Formed Or Acquired Organizations <br />...................................10 <br />7. Waiver Of Subrogation <br />...........................................................................................................11 <br />8. Automatic Additional Insured - Specified Relationships: <br />..................................................11 <br />• Managers Or Lessors Of Premises; <br />• Lessor Of Leased Equipment; <br />• Vendors; <br />• State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits <br />Or Authorizations Relating To Premises; and <br />• Mortgagee, Assignee Or Receiver <br />9. Property Damage To Borrowed Equipment <br />.........................................................................14 <br />10. Employees As Insureds - Specified Health Care Services And Good Samaritan <br />Services ...................................................................................................................................15 <br />11. Broadened Notice Of Occurrence <br />.........................................................................................15 <br />12. Nonowned Aircraft <br />..................................................................................................................15 <br />13. Bodily Injury Redefined <br />..........................................................................................................15 <br />14. Expected Or Intended Injury Redefined <br />...............................................................................15 <br />15. Former Employees As Insureds <br />............................................................................................15 <br />16. Voluntary Property Damage Coverage And Care, Custody Or Control Liability <br />Coverage ..................................................................................................................................16 <br />17. Broadened Contractual Liability - Work Within 50' Of Railroad Property <br />.........................17 <br />18. Alienated Premises <br />.................................................................................................................17 <br />B. Limits Of Insurance: <br />The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse- <br />ment, except as provided below: <br />1. Employee Benefit Liability Coverage <br />Each Employee Limit: $1,000,000 <br />Aggregate Limit: $3,000,000 <br />Deductible Amount: $ 1,000 <br />3. Damage To Premises Rented To You <br />The lesser of: <br />a.The Each Occurrence Limit shown in the Declarations; or <br />b.$500,000 unless otherwise stated $ <br />4. Supplementary Payments <br />a.Bail Bonds: $2,500 <br />EPP0517147 <br />WB Brawley CompanyDocuSign Envelope ID: 270168C8-F741-48EF-B67D-C3C5DCCB71CE
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