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<br />ATTACHMENT "B-2" <br />AUTOMOBILE LIABILITY ENDORSEMENT <br /> <br /> POLICY INFORMATION <br />PRODUCER POLICY INFORMATION: <br /> Insurance Company: <br /> Policy No.: <br /> Policy Period: (from) (to) <br />Telephone No. LOSS ADJUSTMENT EXPENSE 0 Included in Limits <br /> 0 In Addition to Limits <br />DEDUCT ABLE: $ 0 Self-Insured 0 Retention (check which) <br /> <br />NAMED INSURED (Licensed Contractor) APPLICABILITY. This insurance pertains to the operation and/or <br />tenancy of the named insured under all written agreements and permits <br /> in force with the Entity unless checked here 0 in which case only the <br /> following specific agreements and permits with the Entity are covered: <br /> CITY AGREEMENTS/PERMITS - (Describe work and location below) <br /> <br /> <br /> <br /> <br />TYPE OF INSURANCE OTHER PROVISIONSO <br />0 COMMERCIAL AUTO POLICY I I <br />CJ BUSINESS AUTO POLICY <br />CJ OTHER <br />LIMITS OF LIABILITY (per occurrence) CLAIMS: Underwriter's representative for claims pursuant to this <br />insurance. <br />$1,000,000 for Combined Single Limit Name: <br /> Address: <br /> Telephone: ( ) <br />$ cer accident, for bodily iniury and propertY damaQeD I I <br />In consideration of the premium charge and notwithstanding any inconsistent statement in the policy to which this endorsement is <br />attached or any endorsement now or hereafter attached thereto, it is agreed as follows: <br />1. INSURED: The The City of Redwood City, its Council rnernbers, commissions, committees, boards, officers, ernployees, and <br />agents as additional insureds are included as insureds with regard to damages and defense of claims arising from: the ownership, <br />operation, rnaintenance, use, loading or unloading of any auto owned, leased, hired or borrowed by the Named Insured, or for which <br />the Named Insured is responsible. <br />2. CONTRIBUTION NOT REQUIRED. As respects work performed by the Named Insured for or on behalf of the Entity, the <br />insurance afforded by this policy shall: (a) be primary insurance as respects The City of Redwood City, its Council mernbers, <br />comrnissions, committees, boards, officers, employees, and agents as additional insureds; or (b) stand in an unbroken chain of <br />coverage excess of the Named Insured's primary coverage. Any insurance or self-insurance rnaintained by the The City of Redwood <br />City, its Council mernbers, commissions, committees, boards, officers, employees, and agents as additional insureds shall be excess <br />of the Named Insured's insurance and not contribute with it. <br />3. CANCELLATION NOTICE. With respect to the interests of the Entity, this insurance shall not be canceled, except after thirty (30) <br />days prior written notice by receipted delivery has been given to the Entity. <br />4. SCOPE OF COVERAGE. This policy affords coverage at least as broad as: <br /> (1) If primary, Insurance Services Office Form Number CAOO01 (Ed. 1/87), Code 1 ("any auto"); or <br /> (2) If excess, affords coverage which is at least as broad as the primary insurance forms referenced in the preceding Section (1). <br />Except as stated above, nothing herein shall beheld to waive, alter or extend any of the limits conditions, agreements or exclusions of <br />the Dolicy to which this endorsement is attached. <br />ENDORSEMENT HOLDER T <br /> AUTHORIZED <br />City of Redwood City REPRESENTATIVE CJ Broker/Agent CJ Underwriter CJ <br />Attn.: Engineering & Construction I, (print/type name), warrant <br />P.O. Box 391 that I have authority to bind the above-mentioned insurance company, <br />Redwood City. CA 94064 and by my signature hereon do so bind this company to this <br /> endorsement. <br /> Signature <br /> Telephone: ( (origina/ signature required) <br /> ) Date Sianed <br />