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Apply-A-Line LLC 7/26/2021
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Apply-A-Line LLC 7/26/2021
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Last modified
8/6/2021 11:15:55 AM
Creation date
8/6/2021 11:14:37 AM
Metadata
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Template:
Contracts
Contractor's Name
Apply-A-Line LLC
Approval Date
7/26/2021
Department
Purchasing
Department Project Manager
Jeremy Wheeler
Subject / Project Title
2021-043 Pavement Markings
Tracking Number
0003011
Total Compensation
$197,822.70
Contract Type
Small Works
Retention Period
6 Years Then Destroy
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• <br /> Attachment Code: D585637 Master ID: 1485069,Certificate ID: 17701530 <br /> 0 <br /> Additional Insured — Automatic — Owners, Lessees Or ZURICH <br /> Contractors <br /> Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer No. Add'I.Prem Return Prem. <br /> GL03002387 00 1/1/2021 1/1/2022 1/1/2021 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> Named Insured: Frontline Road Safety Holdings, LLC; Stripe-A-Zone, Inc.; Apply-A-Line, LLC; Griffin Pavement Services <br /> Address(including ZIP Code): 9 Greenway Plaza, Suite 2400, Houston, TX 77046 <br /> This endorsement modifies insurance provided under the: <br /> Commercial General Liability Coverage Part <br /> A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whom you <br /> are required to add as an additional insured on this policy under a written contract or written agreement. Such <br /> person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or <br /> "personal and advertising injury"caused, in whole or in part, by: <br /> 1. Your acts or omissions; or <br /> 2. The acts or omissions of those acting on your behalf, <br /> in the performance of your ongoing operations or "your work" as included in the "products-completed operations <br /> hazard", which is the subject of the written contract or written agreement. <br /> However, the insurance afforded to such additional insured: <br /> 1. Only applies to the extent permitted by law; and <br /> 2. Will not be broader than that which you are required by the written contract or written agreement to provide for <br /> such additional insured. <br /> B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: <br /> This insurance does not apply to: <br /> "Bodily injury", "property damage" or"personal and advertising injury" arising out of the rendering of, or failure to <br /> render, any professional architectural, engineering or surveying services including: <br /> a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, <br /> field orders, change orders or drawings and specifications; or <br /> b. Supervisory, inspection, architectural or engineering activities. <br /> This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the <br /> supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence"which caused the <br /> "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the <br /> rendering of or the failure to render any professional architectural, engineering or surveying services. <br /> U-GL-1175-F CW(04/13) <br /> Page 1 of 2 <br /> Includes copyrighted material of Insurance Services Office, Inc.,with its permission. <br />
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