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Agmt10 K.J. Woods Construction, Inc.
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Agmt10 K.J. Woods Construction, Inc.
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Last modified
5/4/2010 3:09:47 PM
Creation date
4/2/2010 2:47:26 PM
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Template:
Agreement
Contractor Name
K.J. Woods Construction, Inc.
PROJECT NAME
Water and Sewer Replacement Project Hillcrest Dr. Circle Rd. and Hopkins Ave.
RMP File Number
304
Date
3/26/2010
MO Ref
10-024
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<br />TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA <br /> <br />~~ <br /> <br />Authorized Signature <br /> <br />INSURED: K.J. WOODS CONSTRUCTION, INC. <br />POLICy NUMBER: DT81 0331 K6297TIL09 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />DESIGNATED INSURED <br /> <br />This endorsement modifies the insurance provided under the following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br /> <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br />modified by this endorsement. <br /> <br />. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured <br />Provisions of the Coverage Form. This endorsement does not alter coverage provided in the Coverage. <br />Form. <br /> <br />SCHEDULE <br /> <br />PERSON OR ORGANIZATION: THE CITY OF REDWOOD CITY, ITS COUNCIL <br />MEMBERS, OFFICERS, BOARDS, COMMITTEES, COMMISSIONS, EMPLOYEES AND <br />AGENTS. <br /> <br />JOB DESCRIPTION: WATER AND SEWER REPLACEMENT PROJECT - HILLCREST <br />DRIVE, CIRCLE ROAD AND HOPKINS AVENUE. <br /> <br />Any person or organization that you are required to include as an additional insured on this Coverage Form <br />in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property <br />damage" occurs and that is in effect during the policy period. <br /> <br />(If no entry appears above, information require to complete this endorsement will be shown in the <br />Declarations as applicable to the endorsement.) <br /> <br />Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the <br />extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision <br />contained in Section II of the Coverage Form. <br /> <br />CA 20 48 02 99 <br /> <br />Copyright, Insurance Services Office, Inc., 1998 <br /> <br />Page 1 of 1 <br />
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