Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1997-0723_CALIFORNIA TRAFFIC MAINTENANCE_Liability Endorsement
r ' CTIA PAGE ©3 07/22/19.97 10: L!� _ t�9F4._� LIARILITY ENDOI% RMIg1YT CITY OF SAN JUAN CAPIJlTR.ANO COMMUNITY RP:DEVELOPMENI'AGENCY 32400 Pelee Adelaeto San Jean Cap(atiraeo,California 92675 A77Nr - . A FOLILY INFORMATION BndczurnaN 0_ 1. insurance Company — ____- .__ ;Policy N her 2. Policy Veto(Fi n) To)__ ;Endorsement Effective Doe 3. Named insured C.26--p,r 124'17 4. Address of Named Insisted_, r 5. Limit of Liability Any One Occurrence/Aggregate f _ f-„__,,_,�, General Liability Aggregate(Check oris:) Applies'per loret.ior✓project" _ Is twice the occurrence limit L� 6 Deductible r on(Nil union otherwise specified): I/s"C 7 Coverage is equiv!lent to: Comprehensive General Liability form 0L0002(Ed 1173) 6'6( ,/€_7//-- -(zre- - Cornmerciel General Liability"claim.-made form C00002 R. Podily Injsuy end Property Dernsge Coverage is: "claims-made" "occurrence" If if claim.made,the retroactive dale is o__4- • D eOidCYAML )MLNT3 This endorsement in issued in consideration of the policy premium Notwithstanding any inconsistent statement in the policy to which this endorsement is attached or any other endorgemertt attached thereto, it is agreed u follows. INSURED. The City and the Community Redevelopment Agency,its elected or appointed ofloers,official,,employer, and volunteers tors inchtded as insureds with regard to damages and detbrise of claims arising from;(a)activities performed by or on behalf of the Named Insured,(b)project'and completed operations of the Named insured,or(c)prembes owned. leased or used by the Named insured. 2 CONT E*UTiore NOT REQUIRRD. As respect.' (a)work performed by the Named Insured for or on behalf of the City.re(b)projects•std by the Named Insured to the City;or(o)premises leased by the Named Insured from the city,the insurance aitrvrded by this policy shall be primary insurance as respects the City,Its Sleeted at appointed ofilicere,officia1a. employee!of V6lUnteers;or stand in an unbroken chain of coverage excess of the Named Insured's scheduled underlying primary coverage. In either event, any other insurance maintained by the City,its elected or appointed oMecrs,officials, employee/or volunteers shall be in excess of this ins ranee and shall not contribute with it. SCOPE cup'COYERAC112. This policy,if prirnsry,Fords coverage it taut ss broad as: (l) Inrirance Sctvi e. Office form number OL0002 (Ed. 103), Comprehensive General Liability Insurance and ��,Sd1e- /7 Insurance Service"Office shim number t3L0404 Prowl Form Comprehensive General Liability endorsement;or, j1144 (2) 1nr„ranoe Servieee(Ace Corrunercial C}onerel Liability Coverage,"ncrnvrenoe"Ibrm Cti0001 or"cfsimR,t,ncis" frosts 000002;or, 17/22/1997 10: 10 818954 CTNy, PAGE 02 (3) If excess,a1brds Covera which is at least as broad ea the iQ pcimvy insurance roma referenced in the preceding sections(1)and(2). 4. SEVERABILITY OF INTEREST. The msureice ebrdad by this policy applies separately to each insured who is seeking coverage or against whom a claim is made or a suit is brought,except with respect to the Company's limit of liability. 5. PROVISIONS REGARDING THE INSURED'S DUTIES AFTER ACCIDENT OR LOSS, Any tailtue to comply with reporting provisions ol'thc policy shall not affect coverage provided to the City and the Community Redevelopment Agency,its elected or appointed officers.officials,employees or volunteers. b. CANCELLATION NOTICE. The insurance aflbrdod by this policy shall not be suspended, voided,cancelled, reduced in oovurage or limits except after thirty (30)days'prior written notice by certified mail return receipt requested hes been given to the City. Such notice shall be addressed as shown in the heading of this endorsement. .011NLAND.CI.A!MR2QET lGEBPCEDIJRI Incidents and claims are to be reported to the insurer at AT'1'Nt (Title) (Department) - - (Ci . ip code) (Telephone) i7 • r . • a - t. ' • , a . • ; , - • .V . ii a Mit tom!- , J, _ (print/type name),wtursnt that I have authority to bind the below listed insurance company and by mV signature hereon do so hind this company • • Sit/NATURE OF AUTHORIZED REPRESENTATIVE (Original signature required on endorsement rtrnished to the City) OROANf?JITION ADDRESS' ��` ? 3 4 J J �( T6LFPHONJ3: Gig as � �� 64- 9/22 Ado