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15
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2013
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082013
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15
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9/25/2013 12:30:42 PM
Creation date
8/14/2013 2:22:08 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
8/20/2013
DESTRUCT DATE
15Y
DOCUMENT NO
15
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EXHIBIT "G" <br /> ADDITIONAL INSURED ENDORSEMENT <br /> FOR COMMERCIAL GENERAL LIABILITY POLICY <br /> Insurance Company:_ — <br /> f <br /> This endorsement modifies such insurance as is afforded by the provisions of Insurance Policy <br /> number relating to the following: <br /> 1. Thia City of Pleasanton, 123 Main Street, P.O. Box 520, Pleasantor, CA 94566; its <br /> officers, employees, agents, volunteers and representatives are named as <br /> additional insureds ("additional insureds") with regard to liability and defensive <br /> suits arising from operations and uses performed by or on behalf of the named <br /> insured. <br /> 2. With respect to claims arising out of the operations and uses performed by or on <br /> behalf of the named insured, such insurance as is afforded by this policy is <br /> primary and is not additional to or contributing with any other irsurance carried <br /> by or for the benefit of the additional insureds. <br /> 3. This insurance applies separately to each insured against whom a claim is made <br /> or suit is brought except with respect to the company's limits of liability.The <br /> inclusion of any person or organization as an insured shall not affect any right <br /> which such person or organization would have as a claimant is not so insured. <br /> I. With respect to the additional insureds,this insurance shall not be canceled, or <br /> materially reduced in coverage or limits except after thirty(30) Mays written <br /> notice has been given to the City of Pleasanton, Police Departm ant, 4833 Bernal <br /> Ave., P.O. Box 909, Pleasanton, CA 94566.. <br /> (Completion of the following, including counter signature, is required to make this <br /> endorsement effective.) <br /> Effective: this endorsement form as part of <br /> Policy H: — — — -- <br /> Issued to: <br /> (Named insured) <br /> Countersigned by: <br /> (Authorized Representative) <br />
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