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Agmt02 Robert Bothman
RedwoodCity
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Agmt02 Robert Bothman
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Last modified
8/24/2005 12:22:11 PM
Creation date
5/24/2002 2:23:15 PM
Metadata
Fields
Template:
Agreement
Contractor Name
Robert Bothman & Beals Sport (2 agreements)
PROJECT NAME
Hoover field improvement
RMP File Number
304
Date
5/22/2002
MO Ref
02-105
Box
5969
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INSU C VE FICATION <br /> CIT~ OF ~DWOOD CITY <br /> It b her~b~ ~dersto~ tad a~e~ tba~ t~ ~oUow~c Insurince r~uir~meats are applicable to thb project <br /> ~d thlt the lp~cablc pa~u an~or eodor~ments co~Jn tke following coverage. (P~ ~h~c~ (/J t~ <br /> <br /> ~Pli~ C~ga$, O~cral Liabi~ <br /> ~y ~ve~sge, A~ Lia~lity <br /> W~ rcsFccl :o Cla~ a:isMg out 0f~ ~cr~ of ~e N~ed l~$~od, s~h ins~ncc as afforded by ~i~ policy <br /> is p~ry ~ud ~ ~c a~ido~l ~ or co~=ibuti~ ~ aay o~er ~aace c~icd by ur for the b~efit of t~ abo~ <br /> AidiB~l l~meds, _ ............................ <br /> Cross ~iibili~/$everubill~ of Interest <br /> <br /> ~_Cross LimbillW, Au~ ~isbili~ <br /> ~ ~ng of mo~ ~ ~e p~a~, fi~ oz ~tion ~ ~s~cd ~der ~s pdicy 5~lt ~ for ~at i~ou alone, <br /> exg~$h aay 2~ of ~c ins~ed aSainst ano~, but t~ ~fldolmc~nt, ~d the ~{ of mul~lc ~e~, shall <br /> <br /> h b u~r~ a~d a~d ~at ~ ~ ~ve~ of c~ellafion of the Po}i~y for say r~on, iacl~d~g ~.~o~i of <br /> <br /> Ci~ of~dwood City <br /> · .O, SOX 391 <br /> Redwood City, CA 94064 <br /> <br /> (650) ~8~380 - Fhone <br /> ......... ..... <br /> FLEASE FILL ~ THE SPACES BE~W ~ ~TU~ WI~ A C~RT~CA~ O~ INSU~ TO <br /> ~nersJ ~ubility Auto LII~H~ <br /> ~olicy No. C~78g~74 C~51207 <br /> ~ffecfive Date: 08-0[-01 08-01-0I <br /> E~iratton Dire 08--01-02 _ 08-01-02 <br /> <br /> N~mof~ra~eeClrrler/CompanL~e~cia[ U~ion* Co~rcial Union* <br /> <br /> (SJgut~e) re) <br /> <br /> 'T~ form ~as no~ mod/fy the comraceagreement. <br /> <br />~$olden Eagle Xu~ucauce <br /> <br /> <br />
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