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20-22245
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20-22245
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Last modified
6/22/2021 8:21:51 AM
Creation date
3/25/2021 10:41:53 AM
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Building Department
Company Name
NESTLE WATERS NORTH AMERICA
Building Department - Doc Type
Permit
Permit #
20-22245
Building Department - Name
NESTLE WATERS NORTH AMERICA
Address
4330 20TH ST
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Williams Scotsman,Iric.. . Your Willia 's Scotsman Representative Contract Number:1186385 <br /> �` 901,S Bond St,Suite 600 Isaac Green Revlisfon:l <br /> EW <br /> L L �. Baltimore,MD.21231-3357. Phone:(410 931.6000�x78499 Date::December 03,2019.. <br /> . . Fax: <br /> Email:fsgre n@willscot.com <br /> Toll Free:8 0-782-1500 - <br /> INSURANGE`REQUIREMENTS'ADDENDUM <br /> QTY PRODUCT . : . EQUIPMENT VALUE/BUILDING DEDUCTIBLE PER UNIT <br /> 1 M04010 $1.9440.00 . $2000.00 <br /> 1 CT408; $5342.00. . $300.00 <br /> Lessee:Alston;Construction,'Company Inc <br /> Pursuant to Section 13 of the Williams Scotsman Lease Agreement and.its Terms and Co ditions("Agreement");aLessee-is obligated to provide ' <br /> insurance to Williams Scotsman,'Inc:("Lessor")with the;following'insurance coverage: <br /> 1. Commercial General Libbility Insurance: policy of combined bodily injury and pro eriy damage insurance insuring Lessee.and Lessor :. . <br /> against any liability arising out of the.use,.maintenance,'or possession the.Equipm nt.Such insurance shall be iri-an amount not less than'. <br /> $1,00.0,000 peroccurrence,naming the Lessor as Additional Insured and Loss Paye r <br /> 2. Commercial Property Insurance:covering:all losses or damage,in an amount equal to 100%of the Equipment Value.set forth in the.Lease <br /> 'providing protectiomagainst perils ihcluded'within the classification and special extended perils(all"risk"insurance);naming the Lessor as <br /> Additional Insured and Loss Payee.. <br /> Commercial General Liability Insurance <br /> Lessee is providing Commercial-General Liability Insurance in accordance with the.requireinents set forth Section�13 of the:Lease and will. <br /> provide a certificate.of insurance in the inanner:and,within the time frame set forth in the A reement. If Lessee fails to deliver the required <br /> certificate of insurance,Lessee understands and agrees that the Lessor has the right to im ose.a missing insurance certificate fee. <br /> Commerclal:Property Insurance <br /> Lessee:is providing Commercial Property insurance in accordance with the requirements set forth Section 13 of the Lease.and will provide a certificate <br /> of insurance in the.hianner and wbin-the time frame set forth in the Agreement.If Lessee:fails to deliver the required certificate of insurance, <br /> Lessee:.understands and agrees that the Lessor has the right to impose a missing insuran I e certificate fee: <br /> By sighing below,the Lessee:agrees,fo:the,terms and conditions stated herein.:All:other Terms and Conditions of the-Agreement shall remain the. <br /> same and in full force.and effect.Each'party is.hereby,auth6rized:to.accept'and'rely upon a facsimile or electronic.signature,of the other partyon this <br /> Addendum. Any such•'signatuce shall be treated as an original signature for all.purposes: <br /> Otherinrise,if elected on.'preceeding pages:. . <br /> Commercial General Llabllity Insurance <br /> Lessee:elects.to-participate in the-Commercial General Liability Insurance.Program,where,y Lessee:will receive'insurance coverage.through <br /> American Southern'Insurance.Company("Insurer".).and administered by Alldih.Insurance Gi up("Agent°): The Lessee:•ac I nowledges and agrees that. <br /> the policy issued.by the-Insurer is a third party liabili.ty'policy that.covers those amounts.that Lessee is legally obligated.to pay:due to bodily.insurance., <br /> and.property damage arising from the proper use and occupancy of Equipment leased fr m.Williams Scotsman.up to the policy limits. Coverage is <br /> subject to underwriting and specific terms and conditions set forth in the.policq. An,outline o cover is available uponrequest..By.signing below,: <br /> Lessee:.understands and agrees that the Lessor is not providing:the insurance.coverage a d serves only.as abilling agent forthe'lnsurer and fts:Agent;':: <br /> and,accordingly,it assumes no liability therefore.. <br /> .Signature of Lessee:. Print Name: . Date: <br /> Damage Waiver Program. '-. <br /> Lessee:elects to participate in the Lessor's Damage Waiver;Program:,Lessee:understand, and agrees that under this program,the Lessor waives,for'. -- <br /> a fee,Lessew's.obligation,to.carry Commercial Property insurance and Lessee:'s liability to Lessor-for.repair or replacement-of the modular units <br /> -leased from Williams Scotsman resulting from loss'ordamage as.specified in Section..12 of't a Lease: Lessee:remains liable to Williams,Scotsman for <br /> the amount of the damage.deductible per unit of equipment'noted above.Please refer to the. greerhoritfor specific details on coverage,exclusions;and <br /> restrictions on coverage:.The Property-Damage Waiver is not and shall not constitute a cont act for insurance:. <br /> Signature of Lessee:. Print Name: . Date: <br />
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