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VORTEX INDUSTRIES INC2
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Last modified
8/6/2019 2:36:16 PM
Creation date
7/2/2019 2:27:54 PM
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Department
City Clerk
General - Type
Agendas
General 2 - Date
7/2/2019
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IL 10 (12106) OLD REPUBLIC INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED/DESIGNATED INSURED AMENDMENT - PRIMARY AND <br />NON-CONTRIBUTORY <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />SCHEDULE <br />Designated Person(s) or Organization (s): <br />All persons or organizations where required by written contract. <br />WHO IS AN INSURED (SECTION 11) is amended to include the person(s) or organization(s) shown in the <br />above Schedule, but only with respect to "accidents" arising out of work being performed for such <br />person(s) or organization(s). <br />As respects any person(s) or organization(s) shown in the above Schedule with whom you have agreed <br />in a written contract to provide primary insurance on a non-contributory basis, this insurance will be <br />primary to and non-contributing with any other insurance available to such person(s) or organizations(s). <br />PCA 048 10 13 <br />Page 1 of 1 <br />MWTB30780019 Vortex industries, Inc. 07/01/2019-07/01/2020 <br />
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