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Adjusters Northwest Amend 4
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Adjusters Northwest Amend 4
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Entry Properties
Last modified
8/28/2017 10:10:51 AM
Creation date
8/28/2017 10:10:49 AM
Metadata
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Template:
Contracts
Contractor's Name
Adjusters Northwest
Approval Date
7/12/2017
End Date
12/31/2017
Department
Legal
Department Project Manager
Chris Muth-Schulz
Subject / Project Title
Claims adjusting services
Amendment/Change Order
Amendment
Amendment/Change Order Number
4
Total Compensation
$35,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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POLICY NUMBER: CP00961035 COMMERCIAL GENERAL LIABILITY <br /> CG 20 26 07 04 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT <br /> 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 Person(s)Or Ordanization(s) <br /> Automatic Status Included Where Required by Written <br /> Contract.All Where Required by Written Contract. <br /> Section ll - Who Is An Insured is amended to in- <br /> clude as an additional insured the person(s) <br /> or organization(s) shown in the Schedule, but only <br /> with respect to liability for "bodily injury", <br /> "property damage" or "personal and <br /> advertising injury" caused, in whole or in <br /> part, by your acts or omissions or the acts or <br /> omissions of those acting on your behalf: <br /> A. In the performance of your ongoing <br /> operations; or <br /> B. In connection with your premises owned by <br /> or rented to you. <br /> CG 202607 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ <br />
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