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7.1.B. - Page 13 <br /> EXHIBIT C <br /> This INSURANCE COVERAGE FORM modifies or documents insurance provided under the following: <br /> Named Insured: Effective Work Date(s): <br /> Description of Work /Locations/Vehicles: <br /> ADDITIONAL INSURED: City of Foster City /Estero Municipal Improvement District <br /> 610 Foster City Boulevard, Foster City, CA 94404 <br /> Attention: <br /> Contract Administrator <br /> Endorsement and Certificates of Insurance Required <br /> The Additional Insured, its elected or appointed officers, officials, Insurer Policy <br /> employees and volunteers are included as insureds with regard to No. <br /> damages and defense of claims arising from: (Check all that apply) <br /> ❑ General Liability: (a) activities performed by or on behalf of the <br /> Named Insured, (b) products and completed operations of the <br /> Named Insured, (c) premises owned, leased occupied or used by <br /> the Named Insured, and /or (d) permits issued for operations <br /> performed by the Named Insured. {Note: MEETS OR EXCEEDS <br /> ISO Form # CG 20 10 11 85) <br /> El Auto Liability: the ownership, operation, maintenance, use, <br /> loading or unloading of any auto owned, leased, hired or <br /> borrowed by the Named Insured, regardless of whether liability is <br /> attributable to the Named Insured or a combination of the Named <br /> Insured and the Additional Insured, its elected or appointed <br /> officers, officials, employees or volunteers. <br /> ❑ Other: <br /> Certificates of Insurance Required (no endorsement needed) (Check all Insurer Policy <br /> that apply) No. <br /> ❑ Workers Compensation: work performed by employees of the <br /> Named Insured while those employees are engaged in work <br /> under the simultaneous directions and control of the Named <br /> Insured and the Additional Insured. <br /> ❑ Professional Liability: <br /> PRIMARY /NON- CONTRIBUTORY: This insurance is primary and is not additional to or contributing with any other <br /> insurance carried by or for the benefit of Additional Insureds. <br /> SEVERABILITY OF INTEREST: The insurance afforded by this policy applies separately to each insured who is <br /> seeking coverage or against whom a claim is made or a suit is brought, except with respect to the insurer's limit of <br /> liability. <br /> PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS: Any failure to comply with <br /> reporting provisions of the policy shall not affect coverage provided to the Additional Insured, its elected or appointed <br /> officers, officials, employees, or volunteers. <br /> CANCELLATION NOTICE. The insurance afforded by this policy shall not be suspended, voided, canceled, reduced <br /> in coverage or in limits except after thirty (30) days' prior written notice (ten (10) days if canceled due to non - payment) <br /> by regular mail return receipt requested has been given to the Additional Insured. Such notice shall be addressed as <br /> shown above. <br /> WAIVER OF SUBROGATION: The insurer(s) named above agree to waive all rights of subrogation against the <br /> CITY /District, its elected or appointed officers, officials, agents, volunteers and employees for losses paid under the <br /> terms of this policy which arise from work performed by the Named Insured for the CITY /District. <br /> REV: 10 -14 -14 MLG <br /> Page 11 of 12 <br /> ATTY /AGR.2014.209 /Development of CalOpps for Foster City <br />