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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 /> Exclusions c. through n. do not apply to damage by fire to premises while rented to a Named Insured or <br /> temporarily occupied by a Named Insured with permission of the owner, nor to damage to the contents of <br /> premises rented to a Named Insured for a period of 7 or fewer consecutive days. <br /> A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. <br /> C. The following paragraph is added to LIMITS OF INSURANCE: <br /> Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out of any <br /> one occurrence because of the sum of all property damage to borrowed tools or equipment, and to other <br /> personal property of others in the Named Insured's care, custody or control, while being used in the Named <br /> Insured's operations away from any Named Insured's premises. The Insurer's obligation to pay such property <br /> damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right <br /> but not the duty to pay any portion of this $1,000 in order to effect settlement. If the Insurer exercises that right, <br /> the Named Insured will promptly reimburse the Insurer for any such amount. <br /> D. Paragraph 6., Damage To Premises Rented To You Limit, of LIMITS OF INSURANCE is deleted and replaced <br /> by the following: <br /> 6. Subject to Paragraph 5. above, (the Each Occurrence Limit), the Damage To Premises Rented To You Limit <br /> the most th Insurer...;II pay de Coverage <br /> for damages because of property damage to any one <br /> is UIC IIIVJL the 'will a U�IUCI {rV VGI4rG A for <br /> premises while rented to the Named Insured or temporarily occupied by the Named Insured with the <br /> permission of the owner, including contents of such premises rented to the Named Insured for a period of 7 <br /> or fewer consecutive days.The Damage To Premises Rented To You Limit is the greater of: <br /> a. $500,000; or <br /> b. The Damage To Premises Rented To You Limit shown in the Declarations. <br /> E. Paragraph 4.b.(1)(a)(ii)of the Other Insurance Condition is deleted and replaced by the following: <br /> (ii) That is property insurance for premises rented to the Named Insured,for premises temporarily occupied by <br /> the Named Insured with the permission of the owner; or for personal property of others in the Named <br /> Insured's care, custody or control; <br /> 16. LIQUOR LIABILITY <br /> Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled <br /> Exclusions is amended to delete the exclusion entitled Liquor Liability. <br /> This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an <br /> additional insured on this Coverage Part. <br /> 17. MEDICAL PAYMENTS <br /> A. LIM ITS OF INSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit)and replace it with the <br /> following: <br /> 7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Limit is the most the <br /> Insurer will pay under Coverage C—Medical Payments for all medical expenses because of bodily injury <br /> sustained by any one person_ Tha Medical Expense Limit is the greater of: <br /> (1) $15,000 unless a different amount is shown here: $N,NNN,NNN,NNN; or <br /> (2) the amount shown in the Declarations for Medical Expense Limit. <br /> B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace <br /> Paragraph 1.a.(3)(b)with the following: <br /> (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and <br /> CNA74705XX(1-15) Policy No: <br /> Page 13 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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