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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 /> Any health care incident for which coverage is excluded by endorsement. <br /> C. DEFINITIONS is amended to: <br /> i. add the following definitions: <br /> Health care incident means an act, error or omission by the Named Insured's employees or volunteer <br /> workers in the rendering of: <br /> a. professional heaith care services on behalf of the Named insured or <br /> b. Good Samaritan services rendered in an emergency and for which no payment is demanded or <br /> received. <br /> Professional health care services means any health care services or the related furnishing of food, <br /> beverages, medical supplies or appliances by the following providers in their capacity as such but solely to <br /> the extent they are duly licensed as required: <br /> a. Physician; <br /> b. Nurse; <br /> c. Nurse practitioner; <br /> d. Emergency medical technician; <br /> e. Paramedic; <br /> f. Dentist; <br /> g. Physical therapist; <br /> h. Psychologist; <br /> i. Speech therapist; <br /> j. Other allied health professional; or <br /> Professional health care services does not include any services rendered in connection with human <br /> r.linir.al trials nr nrrxiurt tastinn <br /> ii. delete the definition of occurrence and replace it with the following: <br /> Occurrence means a health care incident.All acts, errors or omissions that are logically connected by any <br /> common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute <br /> a single occurrence; <br /> iii. amend the definition of Insured to: <br /> a. add the following: <br /> • the Named Insured's employees are Insureds with respect to: <br /> (1) bodily injury to a co-employee while in the course of the co-employee's employment by the <br /> Named Insured or while performing duties related to the conduct of the Named Insured's <br /> business;and <br /> (2) bodily injury to a volunteer worker while performing duties related to the conduct of the <br /> Named Insured's business; <br /> when such bodily injury arises out of a health care incident. <br /> CNA74705XX(1-15) Policy No: <br /> Page 10 of 17 Endorsement No: <br /> Effective Date: <br /> Insured Name: <br /> Copyright CNA Alf Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. <br />
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