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HomeMy WebLinkAboutInsurance Certificate: RW Hays POLICY CHANGES Additional Insured Copy POLl<;:Y NUMBER: 9802189 COMMERCIAL GENERAL LIABILITY CG 32 61 10 05 e THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OREGON ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Person(s) Or Organizations Location(s) Of Covered Operations CITY OF ASHLAND ANY COVERAGE PROVIDED BY THIS 90 N MOUNTAIN AVE ENDORSEMENT APPLIES ONLY TO THE DELIVERY ASHLAND OR 97520 OF FUEL TO THE CITY OF ASHLAND. ADDITIONAL INSURED ALSO INCLUDES CITY OF ASHLAND, OREGON, AND ITS ELECTED OFFICIALS, OFFICERS AND EMPLOYEES. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. e A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organizatiDn(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" Dr "personal and advertising injury" caused by your ongoing operations for the additional insured(s) at the location(s) designated above and only to the extent that such "bodily injury", "property damage" or "personal and advertising injury" is caused by your negligence or the negligence of those performing operations on your behalf. e B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than. another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CITY RECORDER ru-e--P dv.--u Vu..--~ h Ccl.6--C2h~ d;~~ff-e,,~~ CG 32 61 10 05 @ ISO Properties, Inc., 2005 Page 1 of 1 . Third Party _Copy . #BWNDHBS #CENTPRTCSTB04XX1# CITY OF ASHLAND 90 N MOUNTAIN AVE ASHLAND, OR 97520 . .