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Servl~ce Contract <br /> ," Page 2 <br /> <br />' REQUIRED COVERAGES - Where "X" Appears in Box CERTIFICATES OF INSURANCE <br /> <br /> /X/2. Comprehensive General Liability <br /> <br /> a. Minimum Limits of Liability: Insurance Company(s) <br /> $1,OOO,O00 per occurrence combined <br /> single limit bodily injury and <br /> property damage. Policy Number(s)Pollcy Period (dates) <br /> <br /> b. Co__verages: <br /> /x/Bodily Injury Signature of Individual authorized by <br /> /x/Property Damage Insurance Company to bind Company to <br /> /x/Blanket Contractual coverage shown, and above endorsement <br /> //Personal Injury requirements. <br /> //Products/Completed Operations <br /> //Broad Form Property Damage <br /> L/Fire Damage Legal Liability <br /> Name <br /> c. Deductible not to exceed $5,000 " <br /> per occurrence. Address <br /> <br /> d.//~Cross Liability or Severability of <br /> Interests Clause in policy City, State, Zip <br /> <br /> e. Occurrence Form Claims Made Form <br /> <br /> f.If claims made, please complete the following: <br /> Coverage for all prior acts? <br /> <br /> If prior acts coverage is restricted, advise retroactive date of coverage. <br /> <br /> Extended discovery provision: If Insurance Company cancels, how ]ong is <br /> period of extended <br /> discovery? <br /> <br /> If Contractee cancels, how long is optional coverage for extended discovery?,,, <br /> <br /> Percentage of annual premium cost to purchase the extended discovery? <br /> <br /> A Certified copy of the Claims Made form must be provided. <br /> <br /> It will be a requirement of the County that Coverage for the period of the <br /> contract will be maintained for a period of no less than five years after the <br /> expiration of the contract. If coverage for five years is not available, a <br /> shorter term may be negotiated. <br /> <br /> <br />