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Agmt14 Granite Rock Company 2013-2014 Asphalt Rubber Chip Seal
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Agmt14 Granite Rock Company 2013-2014 Asphalt Rubber Chip Seal
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Last modified
9/29/2014 3:51:26 PM
Creation date
9/29/2014 3:51:21 PM
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Template:
Agreement
Contractor Name
Granite Rock Company
PROJECT NAME
2013-2014 Asphalt Rubber Chip Seal and Spot Repair Project
RMP File Number
304
Date
9/25/2014
MO Ref
14-131
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ATTACHMENT "B-1" <br /> GENERAL LIABILITY ENDORSEMENT <br /> (Reproduction of insurance Services office, Inc. Form) <br /> INSURED (CONTRACTOR : Granite Rock Company <br /> POLICY NUMBER: GLO% FECTIVE DATE EXP. DATES: <br /> INSURER: Zurich American Insurance Co. <br /> THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS <br /> This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY <br /> COVERAGE PART <br /> SCHEDULE (ENDORSEMENT HOLDER) <br /> The City of Redwood City, its Council members, commissions, committees, boards, officers, <br /> employees, and agents as additional insureds. <br /> Description of Operations: <br /> 2013-2014 Asphalt Rubber Chip Seal and Sport Repair Project. <br /> Location of Operations: <br /> (if no entry appears above, the information required to complete this endorsement will be shown in the <br /> Declarations as applicable to this endorsement.) <br /> WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br /> shown in the Schedule, but only with respect to liability arising out of"your work"for that insured by or for <br /> you. <br /> Modifications to ISO form CG 20 10 11 85: <br /> 1. The City of Redwood City, its Cuncil members, commissions,committees, boards, <br /> officers, employees, and agents as additional insureds. <br /> 2. This insurance shall be primary as respects the insured shown in the schedule above, <br /> or if excess, shall stand in an unbroken chain of coverage excess of the Named <br /> Insured's scheduled underlying primary coverage. in either event,any other insurance <br /> maintained by the Insured scheduled above shall be in excess of this insurance and <br /> shall not be called upon to contribute with it. <br /> 3. The insurance afforded by this policy shall not be canceled except after thirty days <br /> prior written notice by certified mail return receipt requested has been given to the <br /> Entity. <br /> 4. Coverage shall not extend to any indemnity coverage for the active negligence of the <br /> additional insured in any case where an agreement to indemnify the additional insured <br /> would be invalid under Subdivision b of section 2782 of the Civil Code. <br /> 9/12/2014 (650) 413-4295 <br /> Signature of Authorized Representative (Required) (Date) (Telephone No.) <br /> Wells Fargo Insurance Services USA, Inc. <br /> (Organization) <br /> 959 Skyway Rd. , 2nd F1, San Carlos, CA 94070 <br /> Address <br /> CG 20 10 1185 Insurance Services Office,Inc. Form (Modified) <br />
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