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Amend 3 Adjusters Northwest Corey Brown
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6 Years Then Destroy
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Amend 3 Adjusters Northwest Corey Brown
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Entry Properties
Last modified
3/16/2017 1:25:00 PM
Creation date
3/16/2017 1:24:59 PM
Metadata
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Contracts
Contractor's Name
Adjusters Northwest
Approval Date
1/12/2017
End Date
6/30/2017
Department
Legal
Department Project Manager
Chris Muth-Schulz
Subject / Project Title
Claims adjusting services
Amendment/Change Order
Amendment
Amendment/Change Order Number
3
Total Compensation
$25,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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POLICY NUMBER: CP00961035 COMMERCIAL GENERAL LIABIUTY <br /> CG 2026OT04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - DESIGNATED <br /> PERSON OR ORGANIZATION <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> Name Of Additional Insured Perscn(s}Or Organization(s) <br /> Automatic Status Included Where Required by Written Contract. <br /> All Where Required by Written Contract <br /> Information required to complete this Schedule, if not shown above,will be shown in the Declarations. <br /> Section II —Who Is An Insured is amended to in- <br /> clude as an additional insured the person(s)or organi- <br /> zation(s)shown in the Schedule,but only with respect <br /> to liability for "bodily injury", "property damage" or <br /> "personal and advertising injury"caused, in whole or <br /> In part, by your acts or omissions or the acts or omis- <br /> sions of those acting on your behalf. <br /> A. In the performance of your ongoing operations;or <br /> B. In connection with your premises owned by or <br /> rented to you. <br /> CG 20 26 07 04 ®ISO Properties, Inc.,2004 Page 1 of 1 ❑ <br />
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