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Agmt03 Curtis Williams
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Agmt03 Curtis Williams
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Last modified
7/5/2005 2:56:42 PM
Creation date
9/11/2003 3:14:00 PM
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Template:
Agreement
Contractor Name
Curtis Williams
PROJECT NAME
pro services
RMP File Number
304.5
Date
4/8/2003
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POLICY NLrMBER: 57SBMKU9561 COMMERCIAL GENERAL LIABILITY <br /> THIS ENDORSEMENT CHANGES Tkl~ POLICY. PLEASE READ IT CAREFULLY. <br /> <br /> ADDITIONAL INSURED - DESIGNATED PERSON or <br /> ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br /> <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> <br /> SCHEDULE <br /> <br />Name of Person or Organization: <br /> <br />The City of Redwood City, its Council, officers, boards, commissions, employees and agents <br />P. O. Box 391 <br />Redwood City, CA 94064 <br /> <br />RE: Agreement <br /> <br />(If no entry appears above, 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 H) 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 operations or premises <br />owned by or rented to you. <br /> <br />CG 20 26 11 85 Copyright, Insurance Service Office, Inc., 1984 <br /> <br /> <br />
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