HomeMy WebLinkAboutInsurance Certificate: RW Hays POLICY CHANGES 2 Additional Insured Copy CITY RECORDER
POLICY NUMBER: 9802189 COMMERCIAL GENERAL LIABILITY
CG326110
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 Persons)
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.
A. Section 11 Who Is An Insured is amended to B. With respect to the insurance afforded to these
include as an additional insured the person(s) or additional insureds, the following additional
organization(s) shown in the Schedule, but only exclusion applies:
with respect to liability for "bodily injury", This insurance does not apply "bodily damage" or "personal and advertising rri Y to bodil y injury"
injury" caused by your ongoing operations for or "property damage" occurring after:
the additional insured(s) at the location(s) 1. All work, including materials, parts or
designated above and only to the extent that equipment furnished in connection with such
such "bodily injury", "property damage" or work, on the project (other than service,
"personal and advertising injury" is caused by maintenance or repairs) to be performed by
or on behalf of the additional insured(s) negligence or the negligence of those ds) at
performing operations on your behalf. 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.
RW HAYS COMPANY
PO BOX 1220
MEDFORD OR 97501
CG 32 61 10 05 ISO Properties, Inc., 2005 Page 1 of 1
Third Party Copy
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CITY OF ASHLAND
90 N MOUNTAIN AVE
ASHLAND, OR 97520