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Agmt10 First Serve Productions, Inc.
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Agmt10 First Serve Productions, Inc.
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Last modified
4/23/2010 2:17:48 PM
Creation date
4/6/2010 3:33:01 PM
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Template:
Agreement
Contractor Name
First Serve Productions, Inc.
PROJECT NAME
Resurfacing at Shorebird, Dolphin, Marlin and Mezes Tennis Courts
RMP File Number
304.5
Date
3/15/2010
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<br />Insured: FIRST SERVE PRODUCTIONS, INC. <br />Policy Number: DP A5501823caU <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />BUSINESS AUTO COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTORCA~RCOVERAGEFORM <br />TRUCKERS COVERAGE FORM <br /> <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form <br />apply unless modified by the endorsement. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: THE CITY OF REDWOOD CITY, ITS COUNCIL <br />MEMBERS, OFFICERS, BOARDS, COMMISSIONS, EMPLOYEES AND AGENTS <br /> <br />Description of Operations or Services: P.O. Box 391 Redwood City CA 94064 <br /> <br />Location: MEZES PARK, WARREN STREET & STANDISH STREET, REDWOOD <br />CITY, CA <br /> <br />Description of Covered "Autos": ANY AUTO <br /> <br />SUCH INSURANCE AS IS AFFORED BY THIS POLICY SHALL BE PRIMARY INSURANCE, <br />AND ANY INSURANCE OR SELF-INSURANCE MAINTAINED BY THE ABOVE ADDITIONAL <br />INSURED SHALL BE EXCESS OF THE INSURANCE AFFORDED TO THE NAMED INSURED <br />AND SHALL NOT CONTRIBUTE TO IT <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in <br />the Declarations as applicable to this endorsement.) <br /> <br />The WHO IS AN INSURED provision under LIABll..JTY COVERAGE is changed to include as <br />an "insured" the person or organization shown in the Schedule, but only with respect to liability <br />arising out of: <br />1. Your operations or services performed for that person or organization at the location <br />shown in the Schedule; or <br />2. The ownership, maintenance or use of the covered "autos" described in the Schedule. <br /> <br />A person's or organization's status as an additional insured under this endorsement ends when: <br />1. Your operations or services performed for that person or organization are completed; or <br />2. That person's or organization's interest in the described "auto" ends. <br /> <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />Copyright, Insurance Services Office, Inc. 1984, 1996 <br /> <br />SACA-0122 (12-06) <br />
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