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~ ' • <br />19. Owners Protective $500,000 Combined single limits <br />Liability <br />X 20. City named as additional insured on other than Workers Compensation. This coverage <br />is primary to all other coverages the City may possess. <br />X 21. City provided with Waiver of Subrogation on Workers' Compensation or Atternative <br />program if applicable. <br />X 22. Ten (10) days notice of cancellation, non-renewal, material change or coverage ilure" reduction endorsement required. T Not ce e ofCan~ellat ndp "but ovisaon on (t standa d <br />sentence) are to be eliminated from the <br />ACORD certificates. ndard X 23. The City of Paris prefers an A.M. Best's Zed t dot'bus ness, i,n the Stateer of Texas (not <br />and Poor's Rating AA or better; Author <br />applicable for workers' compensation assigned through pool or alternative <br />compensation programs). <br />X 24. The Certificate must state bid number and bid title or project name. <br />25. Other Insurance Required: <br />INSURANCE AGENT'S STATEMENT <br />I have reviewed these requirements with the bidder named below. Additionally: <br />X 26. The above policy(s) carry the following deductibles: <br />Full limits of coverage a4vanblep ~ p~ <br />~eneral Lia ' <br />Automobile Liability- &Q nW <br />X 27. Liability policies are (indicate): <br />OCCURRENCEV CLAIMS MADE [ ] <br />V( <br />C~~Po~~ <br />Ins r nce Age t(Print <br />r r <br />Si nature <br />Date <br />