HomeMy WebLinkAbout507924 JACOBS ENGINEERING GROUP INC - INSURANCE CERTIFICATE (8)1`52010281*2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Named Insured
Endorsement Number
Jacobs Engineering Group Inc.
29
Policy3ymbol
Pollcy Number
Policy Period
Effective Date of Endo_mement
EON
G21655065 011
07/01/2020 to 07/01/2021
07/0112020
Issued By (Name of Insurance Company)
ACE American Insurance Company
NOTICE TO OTHERS ENDORSEMENT —SCHEDULE
A. If We cancel or non -renew the Policy prior to its expiration date by notice to You for any reason other
than nonpayment of premium, We will endeavor, as set out below, to send written notice of
cancellation or non -renewal via such electronic or other form of notification as We determine, to the
persons or organizations listed in the schedule that You or Your representative provide or have
prodded to Us (the Schedule). You or Your representative must provide Us with both the physical
and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or
physical.address that You or Your representative prodded to Us on such Schedule.
B. The Schedule must be initially provided to Us within 30 days after.
I. The beginning of the Policy Period, if this endorsement is effective as of such date; or
ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy
Period commences.
C. The Schedule must be in a format that is acceptable to Us and must be accurate.
D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the
most recent Schedule in Our records as of the date the notice of cancellation or non -renewal is
mailed or delivered to You.
E. We will endeavor to send or deliver such notice to the e-mail address or physical address
corresponding to each person or organization indicated in the Schedule at least 30 days prior to the
cancellation or non -renewal date applicable to the Policy.
F. The notice referenced in this endorsement is intended only to be a courtesy notification to the
person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non -
renewal of coverage. We have no legal obligation of any kind to any such person(s) or
orgenization(s). Our failure to provide advance notification of cancellation or non -renewal to the
person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind
upon Us, Our agents or representatives, will not extend any Policy cancellation or non -renewal date
and will not negate any cancellation or non -renewal of the Policy.
G. We are not responsible for verifying any information prodded to Us in any Schedule, nor are We
responsible for any incorrect information that You or Your representative provide to Us. If You or
Your representative does not provide Us with a Schedule, We have no responsibility for taking any
action under this endorsement. In addition, If neither You nor Your representative provides Us with
e-mail address and/or physical address information with respect to a particular person or
organization, then We shall have no responsibility for taking action with regard to such person or
entity under this endorsement.
H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the
Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations
page.
All other terns and conditions of this Policy remain unchanged.
d
MS-36362 (04/10) JOHN J. LUPIC0. President
Authorized Representative
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P5WX)2XW2
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SUPPLEMENT TO CERTIFICATE OF INSURANCE 06, 5/2020
Ceara HILL MMMERS, INC.