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Agmt00 Republic Electric
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Agmt00 Republic Electric
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Last modified
9/26/2005 12:10:03 PM
Creation date
9/5/2003 12:20:38 PM
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Template:
Agreement
Contractor Name
Republic Electric
PROJECT NAME
2000-01emergency electrical repair
RMP File Number
304
Date
6/14/2000
Reso Ref
13954
MO Ref
01-33
Box
6039
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Policy Number: AX62162 Commercial Auto <br /> CA 20 48 02 99 <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br /> DESIGNATED 1NSURED <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br />BUS1NESS 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 <br />form apply unless modified by this endorsement. <br /> <br />This endorsement identifies person(s) or organization(s) who are "insureds" under the <br />Who Is An Insured Provision of the Coverage Form. This endorsement does not alter <br />coverage provided in the Coverage Form. <br /> <br />This endorsement changes the policy effective on the inception date of the policy unless <br />another date is indicated below. <br /> <br />Endorsement Effective: 4/21/00 <br /> <br />Named Insured: Republic Electric <br /> <br />SCHEDULE: 2000-2001 Emergency Electrical Repair Service. <br /> <br />Name of Person(s) or Organization(s): <br />The city of Redwood City, its Council, commissions, boards, committees, officers, <br />employees and agents as additional insureds. <br /> <br />(If no entry appears above, information required to complete this endorsement will be <br />shown in the Declarations as applicable to the endorsement.) <br /> <br />Each person or organization shown in the Schedule is an "insured" for Liability <br />Coverage, but only to the extent that person or organization qualifies as an "insured" <br />under the Who Is An Insured Provision contained in Section II of the Coverage Form. <br /> <br />CA 20 48 02 99 <br /> <br />Page 1 of 1 <br /> <br />Copyright, Insurance Services Office, Inc., 1998 <br /> <br /> <br />
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