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Agmt26 Mademoiselle Colette (2401 Broadway)
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Agmt26 Mademoiselle Colette (2401 Broadway)
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Last modified
5/22/2026 11:08:56 AM
Creation date
5/22/2026 11:08:07 AM
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Template:
Agreement
PROJECT NAME
Outdoor Business Activity License Agreement
RMP File Number
304.5
Date
5/8/2026
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY NUMBER: 605899984 <br />FARMERS <br />INSURANCE <br />ADDITIONAL INSURED -SCHEDULED PERSON OR <br />ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />BUSINESSOWNERS COMMON POLICY CONDITIONS <br />16840 <br />2nd Edition <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the <br />endorsement. <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />The City of Redwood City its Council, <br />ororganization(s): <br />officers, officials, agents, employees, <br />and Volunteers <br />Location Of Covered Operation(s): <br />2401 BROADWAY ST <br />REDWOOD CITY, CA 94063 <br />Effective Date Of Endorsement: <br />02/06/2026 <br />If no entry appears above, information required to complete this endorsement will be shown in the Declarations. <br />The BUSINESSOWNERS LIABI LITY COVERAG E FORM is amended as follows: <br />A. With respect to the additional insured described in Paragraph B. of this endorsement, the following exclusions are added <br />to Paragraph 1. Applicable To Business Liability Coverage under Section B. Exclusions: <br />This insurance does not apply to: <br />1. "Bodily injury" or "property damage" for which the additional insured(s) is obligated to pay damages by reason of <br />the assumption of liability in a contractor agreement. This exclusion does not apply to liability for damages that the <br />additional insured(s) would have in the absence of the contract or agreement. <br />2. "Bodily injury" or "property damage" occurring after: <br />a. Your ongoing operations at the location of covered operations other than service maintenance or repairs <br />performed by you or on your behalf have been completed; or <br />b. The portion of your ongoing operation out of which the "bodily injury" or "property damage" arises has been <br />put to its intended use by any person or organization. <br />But in no event shall this insurance apply to "bodily injury" or "property damage" arising out of your operations that <br />were completed prior to the effective date of this endorsement. <br />3. "Bodily injury" or "property damage" arising out of any act or omission of the additional insured(s) or any of its <br />"employees", agents or contractors other than you, except for general supervision by the additional insured(s) of <br />your ongoing operations performed for that additional insured. <br />4. "Property damage" to: <br />a. Property owned, used or occupied by or rented to the additional insured(s); <br />b. Property in the care custody or control of the additional insured(s) or over which the additional insured(s) <br />exercise physical control; or <br />c. Any work including materials, parts or equipment furnished in connection with such work which is performed <br />forthe additional insured byyou. <br />J6840-ED2 09-18 Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />93-6840 <br />REV: 04-27-26 VR <br />ATTY/AGR.2026.115/Mademoiselle Colette, Inc. (2401 Broadway - Mademoiselle Colette, Inc.) (Page 18 of 27) <br />Page 1 of 2 <br />J6840201 <br />
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