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2023-479-E-AMS-Barry Whit-Annual inspections of Emergency Lights Exit Lights and Extinguishers
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2023-479-E-AMS-Barry Whit-Annual inspections of Emergency Lights Exit Lights and Extinguishers
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Last modified
9/7/2023 1:47:37 PM
Creation date
9/7/2023 1:47:27 PM
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Contract
Date
8/29/2023
Contract Starting Date
8/29/2023
Contract Ending Date
9/1/2023
Contract Document Type
Contract
Amount
$13,724.75
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Coverage Extension Endorsement <br />U-CA-424-F CW (04/14) <br />Page 1 of 6 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add’l. Prem Return Prem. <br />BAP084550301 02/14/2023 02/14/2024 02/14/2023 9587000 n/a n/a <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the: <br />Business Auto Coverage Form <br />Motor Carrier Coverage Form <br />A.Amended Who Is An Insured <br />1.The following is added to the Who Is An Insured Provision in Section II – Covered Autos Liability Coverage: <br />The following are also "insureds": <br />a.Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts <br />performed within the scope of employment by you. Any “employee” of yours is also an “insured” while <br />operating an “auto” hired or rented under a contract or agreement in an “employee’s” name, with your <br />permission, while performing duties related to the conduct of your business. <br />b.Anyone volunteering services to you is an "insured" while using a covered "auto" you don’t own, hire or <br />borrow to transport your clients or other persons in activities necessary to your business. <br />c.Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. <br />d.Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract <br />or written agreement with you executed prior to any "accident", including those person(s) or organization(s) <br />directing your work pursuant to such written contract or written agreement with you, provided the "accident" <br />arises out of operations governed by such contract or agreement and only up to the limits required in the <br />written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. <br />2.The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other <br />Insurance – Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: <br />Coverage for any person(s) or organization(s), where required by written contract or written agreement with you <br />executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained <br />by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond <br />the terms and conditions of the Coverage Form. <br />B.Amendment – Supplementary Payments <br />Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II – Covered Autos Liability <br />Coverage are replaced by the following: <br />(2)Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an <br />"accident" we cover. We do not have to furnish these bonds. <br />(4)All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a <br />day because of time off from work. <br />DocuSign Envelope ID: 36D070DF-7FFC-4D95-BC3A-DFA112318681
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