Common use of LOCATION ADDRESS Clause in Contracts

LOCATION ADDRESS. And certifies that policies of insurance as herein described have been issued to the insured(s) named above and are in full force and effect as of the effective date of the agreement. X Occurrence Form X Contingent Employers Liability X Personal Injury X Employees as Additional Insured X Products and Completed Operations Liability X Cross-Liability or Severability of Interest X Broad-Form Property Damage X X X Blanket Contractual Owners and Contractors Protective Property Damage Deductible  $2,000 INSURER: POLICY NUMBER: MM/DD/YY to MM/DD/YY POLICY PERIOD: LIMITS OF LIABILITY Each Occurrence (inclusive bodily injury and/or property damage) Products and Completed Operations Aggregate $ $ INSURER: LIMITS OF LIABILITY POLICY NUMBER: MM/DD/YY to MM/DD/YY Each Occurrence (inclusive bodily injury and/or property damage) $ POLICY PERIOD: Products and Completed Operations Aggregate $ X All the foregoing insurance shall be primary. Any insurance or self-insurance maintained by the City of Prince ▇▇▇▇▇▇ shall be in excess of this insurance and not contribute with it. These policies comply with the insurance requirements of the governing contract, permit, or licence with the City of Prince ▇▇▇▇▇▇. It is understood and agreed that where required by the governing contract, permit or licence, the City of Prince ▇▇▇▇▇▇, its officials, officers, employees, servants and agents have been added as additional insured and that thirty (30) days notice of any material change or cancellation of any of the policies listed herein, either in part or in whole will be given by the insurers to the holder of this certificate. SIGNED ON BEHALF OF THE CONTRACTOR(S)/PERMITTEE(S)/LICENSEE DATE SIGNED (MM/DD/YY) SIGNED ON BEHALF OF THE CONTRACTOR(S)/PERMITTEE(S)/LICENSEE(S) INSURERS DATE SIGNED (MM/DD/YY) INSURANCE AGENCY NAME, ADDRESS, PHONE NUMBER DATE SIGNED (MM/DD/YY) THIS AGREEMENT dated for reference (Insert Date) BETWEEN: