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16
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2022
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041922
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16
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Last modified
4/13/2022 2:31:24 PM
Creation date
4/13/2022 2:31:05 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
4/19/2022
EXPIRATION DATE
4/19/2022
DESTRUCT DATE
PERMANENT
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POLICY NUMBER: 19OB009443 COMMERCIAL GENERAL LIABILITY <br /> CG 20 11 01 96 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED - MANAGERS OR LESSORS OF <br /> PREMISES <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL GENERAL LIABILITY COVERAGE PART <br /> SCHEDULE <br /> 1. Designation of Premises(Part Leased to You): <br /> 5801 VALLEY AV. , <br /> PLEASANTON, CA <br /> 2. Name of Person or Organization (Additional Insured): <br /> CITY OF PLEASANTON <br /> PO BOX 520 <br /> PLEASANTON, CA 94566-0802 <br /> 3. Additional Premium: 10 0 <br /> (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations <br /> as applicable to this endorsement.) <br /> WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br /> Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the prem- <br /> ises leased to you and shown in the Schedule and subject to the following additional exclusions: <br /> This insurance does not apply to: <br /> 1. Any"occurrence"which takes place after you cease to be a tenant in that premises. <br /> 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or or- <br /> ganization shown in the Schedule. <br /> CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 <br /> Page 1 of 1 <br />
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