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Forma Construction 4/7/2021
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Forma Construction 4/7/2021
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Entry Properties
Last modified
4/30/2021 2:01:55 PM
Creation date
4/30/2021 2:01:29 PM
Metadata
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Template:
Contracts
Contractor's Name
Forma Construction
Approval Date
4/7/2021
End Date
4/9/2021
Department
Facilities
Department Project Manager
Darcie Byrd
Subject / Project Title
Construction Work at W. Marine View Drive
Public Works WO Number
JC-20233
Tracking Number
0002885
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Use of Property
Retention Period
6 Years Then Destroy
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CNA <br /> Contractors' General Liability Extension Endorsement <br /> F. The provisions of LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply <br /> as stipulated. <br /> 12. IN REM ACTIONS <br /> A quasi in rem action against any vessel owned or operated by or for the Named Insured, or chartered by or for the <br /> Named Insured, will be treated in the same manner as though the action were in personam against the Named <br /> Insured. <br /> 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE <br /> Solely with respect to bodily injury that arises out of a health care incident: <br /> A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled <br /> Insuring Agreement is amended to replace Paragraphs 1.b.(1) and 1.b.(2)with the following: <br /> b. This insurance applies to bodily injury provided that the professional health care services are incidental to <br /> the Named Insured's primary business purpose, and only if: <br /> (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. <br /> (2) thn bodily injury first occurs .Luring the. policy period. All bodily .. from <br /> �a.J uic bodily IIIJLAI r first vL.�uru 44111'y the: policy N`rrv.+. rw vVMIIJ injury` arising from uiioccurrence <br /> will be deemed to have occurred at the time of the first act, error, or omission that is part of the <br /> occurrence; and <br /> B. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled <br /> Exclusions is amended to: <br /> i. add the following to the Employers Liability exclusion: <br /> This exclusion applies only if the bodily injury arising from a health care incident is covered by other <br /> liability' ..vail...L.,.. L.. LL... Insured l.... .....,...L. .I.J L....... been <br /> liability' insurance UI alll.e available to the- 111.9UIGU `VI WIIIUII would IIQVC UCCII available but for exhaustion of its <br /> limits). <br /> ii. delete the exclusion entitled Contractual Liability and replace it with the following: <br /> This insurance does not apply to: <br /> Contractual Liability <br /> the Insured's actual or alleged liability under any oral or written contract or agreement, including but not <br /> limited to express warranties or guarantees. <br /> iii. add the following additional exclusions: <br /> This insurance does not apply to: <br /> Discrimination <br /> any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on <br /> an individual's race, creed, color, age, gender, national origin, religion, disability, marital status or sexual <br /> orientation. <br /> Dishonesty or Crime <br /> Any actual or alleged dishonest,criminal or malicious act, error or omission. <br /> Medicare/Medicaid Fraud <br /> any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state <br /> or local governmental program. <br /> Services Excluded by Endorsement <br /> CNA74705XX(1-15) Policy No: <br /> Page 9 of 17 Endorsement No: <br /> Effective Date: <br /> Insured Name: <br /> Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. <br />
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