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2021-082F
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Last modified
7/20/2021 10:05:43 AM
Creation date
7/19/2021 2:32:10 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
06/08/2021
Control Number
2021-082F
Agenda Item Number
8.V.
Entity Name
Atlantic Roofing II of Vero Beach, Inc.
Subject
Courthouse Roof Replacement
Project Number
IRC-1764
Bid Number
2021036
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POLICY NUMBER: ATN2158246 <br />COMMERCIAL GENERAL LIABILITY <br />CG 20 37 07 04 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Additional Insured Person(s) <br />Or Organization (s): <br />Location And Description Of Completed Operations <br />Blanket as required by written contract, fully <br />Any and All Locations <br />executed prior to the named insured's work. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />Section II — Who Is An Insured is amended to <br />include as an additional insured the person(s) or <br />organization(s) shown in the Schedule, but only with <br />respect to liability for "bodily injury" or "property dam- <br />age" caused, in whole or in part, by "your work" at <br />the location designated and described in the sche- <br />dule of this endorsement performed for that addi- <br />tional insured and included in the "products - <br />completed operations hazard". <br />CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 0 <br />
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