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CONCENTRA MEDICAL CENTER dba OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA
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Last modified
8/8/2024 4:24:56 PM
Creation date
2/27/2019 1:46:50 PM
Metadata
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Template:
Contracts
Company Name
CONCENTRA MEDICAL CENTER dba OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA
Contract #
A-2019-006
Agency
Human Resources
Council Approval Date
1/15/2019
Expiration Date
4/1/2022
Insurance Exp Date
4/1/2025
Destruction Year
2027
Notes
For Insurance Exp. Date see Notice of Compliance
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WAIVER OF RIGHTS OF RECOVERY <br />APPLICABLE TO GENERAL LIABILITY COVERAGE FORM <br />The changes set forth below are applicable only to the Commercial General Liability Coverage Form G- <br />145566-A, G-145567-A). <br />The Healthcare Liability Policy Common Conditions (G-144102-A) are amended as set forth below: <br />Condition XII., Transfer of Rights of Recovery is amended by the addition of the following: <br />Solely within the scope of this endorsement as indicated above, we waive any right of recovery we <br />may have against any person or organization that you have agreed with, in writing, prior to the date <br />of loss, to waive your right to recover against because of payments we make under the Commercial <br />General Liability Coverage Form for injury or damage arising out of your ongoing operations. This <br />endorsement applies only to: <br />All other terms and conditions of the Policy remain unchanged. <br />This endorsement, which forms a part of and is for attachment to the Policy issued by the designated <br />Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another <br />effective date is shown below, and expires concurrently with said Policy. <br />GSL6554XX (4-11) <br />Page 1 <br />Policy No: <br />Endorsement No: <br />Effective Date: <br />Insured Name: Concentra Group Holdings Parent, LLC <br />© CNA All Rights Reserved. <br />HAZ 4032244581-5 <br />10/01 /2020 <br />cF IZAMwagzmentDMsian <br />Jy/\'x REVIEWED & APPROVED BY.- <br />V"° <br />--� Risk janagement Analyst <br />
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