AgdaPkt 2020-10-26 Joint SA PFA - Laserfiche WebLink

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7.A. - Page 135 of 176 Permit No. Pe rm ittee: 4) With regard to the Liability insurance required above, excepting any pollution legal liability policy, City, its officers, agents, employees, volunteers, and contractors shall be named as an additional insured on an endorsement with completed operations and on-going operations coverage. An endorsement providing that this coverage is primary and non- contributory shall also be provided. 5) Prior to the effective date of this Permit, Permittee shall deliver to City certificates of insurance and additional insured endorsements in a form reasonably satisfactory to City, evidencing the coverages required hereunder. 6) Permittee's compliance with the provisions of this Section shall in no way relieve or decrease Permittee's indemnification obligations under this Permit or any of Permittee's other obligations hereunder. Notwithstanding anything to the contrary in this Permit, this Permit shall terminate immediately, without notice to Permittee; upon the lapse of any required insurance coverage. Permittee shall be responsible, at its expense, for separately insuring Permittee's personal property. 7) Due to the extended term of this Permit, upon request by City, Permittee shall increase the insurance amounts provided herein to such commercially reasonable minimum limits as may be requested by City. Permittee shall provide evidence of such increased insurance within thirty (30) days of request by City, in a form reasonably satisfactory to City. In submitting this application, Applicant(s) agree(s) to accept and comply with all terms and conditions set forth in this permit application, and agrees that said terms, conditions and provisions shall be binding on permittee(s), co-owners, heirs, assigns, transferees and successors of interest of every nature. Applicant(s) Signature(s): Applicant(s) Signature(s): (Reserved for City's use) Date: Date: PERMIT GRANTED BY CITY ENGINEER, CITY OF REDWOOD CITY Permit Valid From: To: Fees Paid: Bond/Security: Evidence of Insurance Provided: Address/Location of Activity: Nature of Permitted Activity: Conditions: —Permit Granted Pursuant To Terms in Attached Special Provisions Form* Permit Issued By: On this date: Permittee's Acceptance of City's Permit Terms and Special Provisions: 3 of 9 OAK #4819-4834-1908 v19 Exhibit D 317