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<br />ATTACHMENT "B-1" <br />GENERAL LIABILITY ENDORSEMENT <br />(Reproduction of Insurance Services office, Inc. Form) <br /> <br />INSURED (CONTRACTOR): ~ov, C ~57.t.aJt!. -1i ;',J I J\Jt- <br />POLICY NUMBER: t OArnA& EFFECTIVE DATE: 3/th/Df EXP. DATES: ..::YZ4~~ <br />INSURER: 5LlA 'AI.5JJL~ CO. <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br /> <br />This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY <br />COVERAGE PART <br /> <br />SCHEDULE (ENDORSEMENT HOLDER) <br /> <br />The City of Redwood City, its Council members, commissions, committees, boards, officers, <br />employees, and agents as additional insureds. <br /> <br />Description of Operations: <br />IN~-UC'- ~"..I' L~~ , (A&'/tl1f:7 S <br /> <br />Location of Op~atio~s: .. _ _ I Ii Q <br />,.. lit,: J I;' II t:W ( <br /> <br />(If no entry appears above, the information required to complete this endorsement will be shown in the <br />Declarations as applicable to this endorsement.) <br /> <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization <br />shown in the Schedule, but only with respect to liability arising out of "your work" for that insured by or for <br />you. <br /> <br />Modifications to ISO form CG 20 10 11 85: <br /> <br />1. The City of Redwood City, its Cuneil members, commissions, committees, boards, <br />officers, employees, and agents as additional insureds. <br /> <br />2. This insurance shall be primary as respects the insured shown in the schedule above, <br />or if excess, shall stand in an unbroken chain of coverage excess of the Named <br />Insured's scheduled underlying primary coverage. In either event, any other insurance <br />maintained by the Insured scheduled above shall be in excess of this insurance and <br />shall not be called upon to contribute with it. <br /> <br />3. The insurance afforded by this policy shall not be canceled except after thirty days <br />prior written notice by certified mail return receipt requested has been given to the <br />Entity. <br /> <br /> <br />4. Coverage shall not extend to any indemnity coverage for the active negligence of the <br />additional insured in any case where an agreement to indemnify the additional insured <br />w be in alid under Subdivision b of section 2782 of the Civil Code. <br /> <br />]If'~ <br />(Date) <br /> <br />6j"p -J4$' ~3'~ <br />(Telephone No.) <br /> <br />gnature of Authorized Representative (Required) <br /> <br />(Organization) <br /> <br />(Address) <br />CG 20 10 11 85 <br /> <br />Insurance Services Office, Inc. Form (Modified) <br />