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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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C NA63359XX <br /> (Ed. 04/12) <br /> D. Hired "Autos" d. A $100 per occurrence deductible applies to <br /> The following is added to Section III. Paragraph the coverage provided by this provision. <br /> A.: v G. Diminution In Value <br /> 5. Hired "Autos" The following is added to Section III, Paragraph <br /> If Physical Damage coverage is provided under B.6.: <br /> this policy, and such coverage does not extend to Subject to the following, the "diminution in value" <br /> Hired Autos, then Physical Damage coverage is exclusion does not apply to: <br /> extended to: a. Any covered "auto" of the private <br /> a. Any covered "auto" you lease, hire, rent passenger type you lease, hire, rent or <br /> or borrow without a driver; and borrow, without a driver for a period of 30 <br /> b. Any covered "auto" hired or rented by days or less, while performing duties <br /> your"employee"without a driver, under a related to the conduct of your business; <br /> and <br /> contract in that individual "employee's" <br /> name, with your permission, while b. Any covered "auto" of the private <br /> performing duties related to the conduct passenger type hired or rented by your <br /> of your business. "employee"without a driver for a period of <br /> C. The most we will pay for any one 30 days or less, under a contract in that <br /> individual "employee's" name, with your <br /> "accident" or "loss" is the actual cash permission, while performing duties <br /> value, cost of repair, cost of replacement related to the conduct of your business. <br /> or $75,000, whichever is less, minus a <br /> $500 deductible for each covered auto. c. Such coverage as is provided by this <br /> No deductible applies to "loss" caused by provision is limited to a "diminution in <br /> fire or lightning. value" loss arising directly out of <br /> d. The physical damage coverage as is accidental damage and not as a result of <br /> provided bythisprovision is equal to the the failure to make repairs; faulty or <br /> incomplete maintenance nr repairs; nr the <br /> physical damage coverage(s) provided on installation of substandard parts. <br /> your owned "autos." <br /> e. Such physical damage coverage for hired d. The most we will pay for "loss" to a <br /> "autos"will: covered "auto" in any one accident is the <br /> lesser of: <br /> (1) Include loss of use, provided it is the <br /> consequence of an "accident" for (1) $5,000; or <br /> which the Named Insured is legally (2) 20% of the "auto's" actual cash value <br /> liable, and as a result of which a (ACV). <br /> monetary loss is sustained by the III. Drive Other Car Coverage—Executive Officers <br /> leasing or rental concern. <br /> (2) Such coverage as is provided by this The following is added to Sections II and III: <br /> provision will be subject to a limit of 1. Any "auto" you don't own, hire or borrow is a <br /> $750 per"accident." covered "auto" for Liability Coverage while being <br /> E. Airbag Coverage used by, and for Physical Damage Coverage <br /> while in the care, custody or control of, any of your <br /> The following is added to Section III, Paragraph "executive officers,"except: <br /> B.3.: a. An "auto" owned by that "executive officer" or <br /> The accidental discharge of an airbag shall not be a member of that person's household; or <br /> considered mechanical breakdown. b. An "auto" used by that "executive officer" <br /> F. Electronic Equipment while working in a business of selling, <br /> Section III, Paragraphs B.4.c and B.4.d. are servicing, repairing or parking"autos." <br /> deleted and replaced by the following: Such Liability and/or Physical Damage Coverage <br /> c. Physical Damage Coverage nn a covered <br /> as is afforded by this provision. <br /> "auto" also applies to "loss" to any (1) Equal to the greatest of those coverages <br /> permanently installed electronic equipment afforded any covered"auto"; and <br /> including its antennas and other accessories. <br /> CNA63359XX Copyright,CNA Corporation,2000 Page 2 of 3 <br /> (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission <br />
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