|
7.2.A. - Page 28
<br /> •
<br /> . . • ATTAf►HMENT"E3-2"- • ••
<br /> •
<br /> . .AUTOMOBILE L!AI:IILlCYENDORStMENT - . .
<br /> 'POLICY INFORMATION - •
<br /> •
<br /> 1 MT:i bTi
<br /> POLICY Itrtat}ItMATpIt
<br /> • Aiilant Ineurance Services,Inc. ••: 11411m ca . . n ur oh American ins Co.
<br /> - 7108 Fairway Drive,'Suite 225 Foley No.; .=;-•ti i:1 15A►r
<br /> Palm Beach Gardens,FL 33418 S •• Fagg Per''l from) cif (to)rt.4-'t •
<br /> • iolephcneNa LOS ARJUSTMEN -'t?-tt-R A lnoludodln lUmlte
<br /> ' • tU Millie attains
<br /> DEDUOTABLBt $ 500,0 0 r _.. ed.roused • •=aten on(� •ok which}
<br /> RANMD 1N5URED(Licensed Contractor) ' ,, As ICY Inn •rem port$16$in t aperilron endror •
<br /> . tanenty Mho named hayed Ledo eliwrleon apernents pad pamrhe - .
<br /> Clark Builder's Group,LP- In fogs with the Ennly unlnrcheeked hero to In whist/ceae only the
<br /> 4401 Wilson Boulevard foreliroepistee teem lnhOnesveltewiththeWilycoWired:
<br /> C1TYR REalati78/PIR II7S..�arkend11500ahefov1
<br /> Suite 800 •
<br /> Arlington,VA 22203 • . . . .
<br /> - TYPE OF INSURANC • ddTlif rtPnOVm99L3' .
<br /> OEB U0 POLICY
<br /> . MN Tw
<br /> .
<br /> L1F PUA U •Y per000urreneo) cin' $ repreantetnrs . balms Punter o
<br /> $1,0041003 for Combined Single Lint - Nan* Alllant Insurance Services,leo.
<br /> - . • Address .7108 Fairway Dr,#225,PBG,FL 33418
<br /> s rr!4 ; 561.795.3303' )
<br /> • . °n'OM'•. . '. .rbYrt tme oherg.i•• bran•Inp any_aeons"-'•n . -men , Iha po'cy to which .5 6ridordamen to
<br /> •alt ached:or any ender rtdnt now or hereefter.etteahed thereto,It is apriod ei•foflowa: •
<br /> 1, tN$URSD Tho The City of Redwood City,Its Counck piembere,conimiralon,ccmmltteoe,boards,.o ficeta-entptayeaa,and
<br /> . • =agenle au additionatlesurede are inoludedee Ineunds with regard todemapes and definite ordains arleinp?rem:the ownership, '
<br /> ' :o*eiptkln,mi.Intenince,use,food or unloading of eny auto owned,toted,hired or borrowed by the Nomad Insured,orfor wbtoN..-
<br /> • sibs Named inured leresponsible,• . . . . . . > ..
<br /> .2,-'OQNTRIaIJT(ON NATREOUIROD, As teapots work perfoinegd by the Nemort.Insured'for or on bahotf of the Fruity,the` •
<br /> • Insurance etforded by this•poiioy¢hall:(a).be piglet)/Ineuranos.ae rnipeot Th5'City of RedwMood-Ctly,its Council mergers,
<br /> foommisslone,oammhloseF boards,offtoare•ernptoyees, und•apentt es additional insureds,or-(b)bland in an unbroken drain of
<br /> :ooveregtoxosee of.ttta Named IneUrod`s-pr1reary eoversrje,Mir Moorage or eakinsurence mbkttalned by the The City of Redwood -
<br /> .City.fie Counait mimbsn;"cornmlastons,carttnttleer,boards,officers,enWldyeee,•and agents as addalonsFrnbureds shag be miens. ` 4f.1hi Nettled lnatlfetre insurbnco.arxi list confAute with it - ex
<br /> -G. GANCEt,UA7 N NOTICE:With rsepeot to the imamate of the Entity,this Insurance shell not he canceled,except after thirty(30):
<br /> dtiye prior written Wlce by rscelpted delivery has been given oath's-Entity. .
<br /> 4. SCOFMOF()OVERAGE..This policy anode coverage at least as brood ae: •
<br /> (1) Ii Only,lnsvrancW Sedos Office Form Number CA00I IEd,1l87),Code T(°any auto)or
<br /> (2
<br /> If exam effardo coverage Which le at least ee plead as the primary insurance forme refrnenoed in the preceding Bootlace(1).
<br /> , ExcOpl as stated above,nothing herein shell beheld to waive.Miter or extend any of the limits conditions,agreements or exotuatonrr of.
<br /> the..R. ..which th•e doraemenl.re111taoh:d -
<br /> B ,.p::r E"ii OLD
<br /> �k (Min. City of Reedwoadgity . •RFPRSSENTAT : 8 Braid!/Agent a undone*: a_
<br /> Attn.:0n Omen p&Conekuedon I. -- . l i Iprtnittyp0 neele).werrant -
<br /> g.O,trox 551 that I Wave eutho 1 ■ . ebeve.ment. ell WIZEN Nat• .
<br /> • ' Redwood Dlty,DA 94054 eSd by my • /eon, .• •. . We-comp this
<br /> 'endorse
<br /> - .
<br /> L '
<br /> 1 • . Si Sr yr _ v .. -.
<br /> • • , el 1 rr+'ue
<br /> Teta ......• S 1 u4w
<br /> ,bed: Ili'
<br /> •
<br /> •
<br />
|