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2005/02/09 Council Agenda Packet
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2005/02/09 Council Agenda Packet
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Council Agenda Packet
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2/9/2005
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5 <br /> ADDITIONAL INSURED ENDORSEMENT - COMMERCIAL AUTO TheSiibtd <br /> This endorsement changes your Auto Liability <br /> Protection. <br /> • you; <br /> How Coverage Is Changed • an employee of yours; or <br /> The following is added to the Who Is • anyone who drives a covered auto with <br /> Protected Under This Agreement section of your permission or with the permission of <br /> your Auto Liability Protection. This change one of your employees or agents. <br /> broadens coverage. <br /> Other Terms <br /> The person or organization named below, for <br /> whom you are doing work, is protected. But All other terms of your policy remain the <br /> only for bodily injury or property damage same. <br /> that results from the ownership, <br /> maintenance, use, loading or unloading of a <br /> covered auto by: <br /> Person or Organization: <br /> City of Everett <br /> 3200 Cedar Street <br /> Everett,WA 98201 <br /> Everett WWTP <br /> Certificate Holder and the City of Everett,Brown and Caldwell and their officers,any elected officials, <br /> employees,agents and volunteers are named as additional insureds for this project per form CA 019 <br /> attached. _ <br /> Operations of the named insured subject to terms and conditions of the policy. <br /> Name of Insured Policy Number KV08700001 Effective Date 6/1/2004 <br /> Hoffman Corporation Processing Date 05/24/2004 <br /> - .. <br /> CA019 Rev. 4-96 Printed in U.S.A. Endorsement <br /> ©St.Paul Fire and Marine Insurance Co.1996 All Rights Reserved Page 1 of 1 <br /> 16 <br />
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