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Agmt17 Live Performance Zoppe Family, Inc
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Agmt17 Live Performance Zoppe Family, Inc
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Last modified
10/2/2017 11:16:02 AM
Creation date
10/2/2017 11:15:35 AM
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Agreement
Contractor Name
Zoppe Family
PROJECT NAME
Live Performance
Date
9/29/2017
MO Ref
17-174
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A D D E N D U M " C " FOR : <br /> ASSURED : ZOPPE FAMILY INC . 1 NINO, LLC 0/0 GIOVANNI ZOPPE <br /> AGENCY : LESTER KALMANSON AGENCY INC . & /OR MITCHEL KALM1ANSON _235 S . MAITLAND AVE . SUITE 21: 1 , MAITLAND , FL 32751 <br /> F . C . BOX 940008 , MAITLAND , FLORIDA 32794 U . S . A . <br /> PH : 407 - 645-5000 FAX : 407 - 645-2810 EMAIL : MITCHELK2 5 @HOTMAIL . COM <br /> POLICY PERIOD / TERM : 04 / 14 / 2017 TO 04 / 14 / 2018 TERM : ANNUAL <br /> ( BOTH DAYS @ 12 : 01 AM LOCAL STANDARD TIME ) <br /> POLICY NUMBER ASSIGNED : CNP16461 ADDED EFFECTIVE 10 / 09/ 2017 <br /> DESCRIPTION OF THE MANUSCRIPT CLAIMS :MADE LIABILITY INSURANCE COVERAGE AFFORDED : <br /> A) SPECTATOR LIABILITY COVERAGE IS AFFORDED THE NAMED INSURED' S CIRCUS WITH VARIOUS ( CONTRACTED ) <br /> CIRCUS ACT ( S ) ( IE : DOG ACT ) TO BE PERFORMED BY THE NAMED INSURED & /OR THEIR (CONTRACTED) <br /> :NDEPENDENT CONTRACTOR ( S ) ONLY AT ONE ( 1 ) SCHEDULED DESIGNATED PREMISES , LOCATED AT RED MORTON <br /> PARK , 1120 ROOSEVELT AVENUE , REDWOOD CITY, CA . ONLY , WHILE UNDER THE DIRECT CONTROL I SUPERVISION <br /> OF THE NAMED INSURED as/OR THEIR EMPLOYEES ONLY . (REFER TO SCHEDULED EVENT DATE ( S ) BELOW) <br /> B) rHE SUPPLEMENTAL EXTENDED REPORTING PERIOD IS HEREBY ADDED FOR : TWO ( 2 ) ADDITIONAL YEARS FROM <br /> NOVEMBER 03 , 2017 TO NOVEMBER 03 , 2019 ( BOTH DAYS AT 12 : 01 A . N . LOCAL STANDARD TIME ) FOLLOWING <br /> THE CLOSING DATE NOVEMBER 02 , 2017 SET UP DATE ( S ) : OCTOBER 09 , 2U17 THROUGH OCTOBER 12 , 2017 . <br /> 1 . SCHEDULED EVENT PATE ( S ) : OCTOBER 12 , 2017 THROUGH OCTOBER 29, 2017 <br /> 2 . TAKE DOWN DATE ( S ) : OCTOBER 30 , 2017 THROUGH NOVEMBER 03 , 2017 <br /> 3 . LOCATION : RED MORTON PARK, 1120 ROOSEVELT AVENUE, REDWOOD CITY , CA . 94061 <br /> 4 . SCHEDULED NUMBER OF SHOWS ( S ) : THIRTY ( 30 ) ONLY <br /> 5 . EVENT DESCRIPTION : VARIOUS CIRCUS ACT ( S ) <br /> ` ) THIS LIABILITY POLICY IS PRIMARY & NON-CONTRIBUTORY TO ANY OTHER LIABILITY INSURANCE POLICY ( S ) <br /> MAINTAINED BY REDWOOD CITY PARKS , RECREATION, AND COMMUNITY SERVICES FOR THE SCHEDULED DESIGNATED <br /> PREMISES LOCATED AT RED MORTON PARK, 1120 ROOSEVELT AVENUE , REDWOOD CITY , CA . 94061 ONLY . <br /> ( REFER TO SCHEDULED EVENT DATE ( S ) BELOW ) <br /> D) CROSS LIABILITY IS ISSUED iN FAVOR OF REDWOOD CITY PARKS , RECREATION , AND COMMUNITY SERVICES , <br /> LOCATED AT : RED MORTON PARK , 1120 ROOSEVELT AVENUE , REDWOOD CITY, CA . 94061 , ONLY . <br /> WAPRANTS : <br /> LIABILITY COVERAGE AFFORDED IS LIMITED TO DIRECT ( THIRD PARTY ) BODILY INJURY <br /> & /OR PROPERTY DAMAGE CAUSED BY THE OWNED & /OR NON-OWNED DOMESTIC ANIMAL (S ) / DOG ( S ) <br /> / HORSE ( S ) / PONY ( S ) ONLY , UNLESS STATED & /OR ENDORSED HERETO AND AN <br /> ADDITIONAL PREMIUM IS CHARGED . <br /> 2 ) ANIMAL MORTALITY COVERAGE IS SPECIFICALLY EXCLUDED FROM THIS POLICY . <br /> 3 : LEGAL LIABILITY COVERAGE IS SPECIFICALLY EXCLUDED FOR ANY NON-OWNED DOMESTIC <br /> & /OR EXOTIC ANIMALS IN THE CARE , CUSTODY , & /OR CONTROL OF THE NAMED INSURED & /OR THEIR <br /> EMPLOYEE ( S ) & /OR (CONTRACTED ) INDEPENDENT CONTRACTOR ( S ) . <br /> 4 ) LIABILITY FOR ANY COMMUNICABLE & /OR INFECTIOUS DISEASES ARE & /OR BACTERIA ARE <br /> SPECIFICALLY EXCLUDED UNLESS OTHERWISE ENDORSED HERETO & /OR <br /> HEREUNDER & AN ADDITIONAL PREMIUM IS CHARGED . <br /> 5 ) WORKERS COMPENSATION / EMPLOYERS LIABILITY COVERAGE IS SPEC: FICALLY <br /> EXCLUDED ON THIS POLICY FOR ANY INJURY TO ANY EMPLOYEE ( S ) & /OR <br /> INDEPENDENT CONTRACTOR ( S ) & /OR VOLUNTEER ; S ) . <br /> ALL OTHER TERMS & CONDITIONS REMAIN UNCHANGED <br /> PAGE 2 OF 3 - - - ( CNP7 / 1 / 15 ) --- PS4 - B ADDENDUM-C <br />
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