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2024-697-E-Aging Dept-Carolina Parks and Play-Fit Lot Change Order 01 - Site Grade and Level for new Fit Lot
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2024-697-E-Aging Dept-Carolina Parks and Play-Fit Lot Change Order 01 - Site Grade and Level for new Fit Lot
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Last modified
11/21/2024 9:48:31 AM
Creation date
11/21/2024 9:47:58 AM
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Contract
Date
11/8/2024
Contract Starting Date
11/8/2024
Contract Ending Date
11/18/2024
Contract Document Type
Contract
Amount
$11,174.63
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Name OfAdditional Insured Person(s) <br />Or Organization(s) <br />As required by written contract signed by both parties <br />and executed prior to commencement of operations. <br />Location(s) OfCovered Operations <br />All locations <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Evanston Insurance Company <br />Term: 10/01/2024 to 10/01/2025 <br />Insured: Carolina Parks & Play, LLC <br />Policy Number: MKLV3PBC003428 COMMERCIAL GENERAL LIABILITY <br />CG 2010 0413 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />A.Section II -Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only <br />with respect to liability for "bodily injury", "property <br />damage" or "personal and advertising injury" <br />caused, in whole or in part, by: <br />1.Your acts or omissions; or <br />2.The acts or omissions of those acting on your <br />behalf; <br />in the performance of your ongoing operations for <br />the additional insured(s) at the location(s) <br />designated above. <br />However: <br />1.The insurance afforded to such additional <br />insured only applies to the extent permitted by <br />law; and <br />2.If coverage provided to the additional insured is <br />required by a contract or agreement, the <br />insurance afforded to such additional insured <br />will not be broader than that which you are <br />required by the contract or agreement to <br />provide for such additional insured. <br />B.With respect to the insurance afforded to these <br />additional insureds, the following additional <br />exclusions apply: <br />This insurance does not apply to "bodily injury" or <br />"property damage" occurring after: <br />1.All work, including materials, parts or <br />equipment furnished in connection with such <br />work, on the project (other than service, <br />maintenance or repairs) to be performed by or <br />on behalf of the additional insured(s) at the <br />location of the covered operations has been <br />completed; or <br />2.That portion of "your work" out of which the <br />injury or damage arises has been put to its <br />intended use by any person or organization <br />other than another contractor or subcontractor <br />engaged in performing operations for a <br />principal as a part of the same project. <br />C.With respect to the insurance afforded to these <br />additional insureds, the following is added to <br />Section Ill -Limits OfInsurance: <br />If coverage provided to the additional insured is <br />required by a contract or agreement, the most we <br />will pay on behalf of the additional insured is the <br />amount of insurance: <br />1.Required by the contract or agreement; or <br />CG 2010 0413 <br />© Insurance Services Office, Inc., 2012 Page1 of2 <br />Docusign Envelope ID: EE37019D-002A-492E-8979-A3A09A4ED425
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