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2011/10/12 Council Agenda Packet
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2011/10/12 Council Agenda Packet
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Council Agenda Packet
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10/12/2011
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• <br /> 5 <br /> ADDITIONAL INSURED—DESIGNATED PERSONS OR ORGANIZATIONS <br /> Named Insured Jacobs Engineering Group, Inc. Endorsement Number <br /> 7 <br /> Policy Symbol / Policy Number Policy Period Effective Date of Endorsement <br /> ISA H08635651 07/01/11 to 07/01/12 07/01/11 <br /> Issued By(Name of Insurance Company) <br /> ACE AMER INS CO <br /> Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO POLICY <br /> • TRUCKERS POLICY <br /> GARAGE POLICY <br /> Additional Insured (s): <br /> A. For a covered"auto," Who Is Insured is changed to include as an"insured,"the persons or organizations named in this <br /> endorsement. However, these persons or organizations are an"insured" only for "bodily injury" or "property <br /> damage" resulting from acts or omissions of <br /> 1. You. <br /> 2. Any of your employees or agents. <br /> 3. Any person operating a covered"auto"with permission from You, any of your employees or agents <br /> B. The persons or organizations named in this endorsement are not liable for payment of your premium <br /> iii"-‘/:11(. <br /> Authorized Agent <br /> DA-9U74(12/94)Ptd.In U.S.A. <br /> 44 • <br />
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