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ALLIANCE ENVIRONMENTAL GROUP, LLC
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Last modified
6/11/2020 11:04:24 AM
Creation date
4/8/2020 11:50:32 AM
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Contracts
Company Name
ALLIANCE ENVIRONMENTAL GROUP, LLC
Contract #
A-2020-059
Agency
PARKS, RECREATION, & COMMUNITY SERVICES
Insurance Exp Date
1/1/1900
Destruction Year
0
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Attachment Code: D544681 Master ID: 1444909, Certificate ID: 16683669 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />All persons and/or organizations - other than manufacturers of asbestos, <br />manufacturers whose component parts include asbestos, or distributors of <br />a product that contains asbestos - that are required by written contract <br />or written agreement with you, executed prior to the accident or loss, <br />that waiver of subrogation be provided under this policy for work <br />performed by you for that person and/or organization. <br />Endorsement Effective: 1/29/2020 <br />Insured: Alliance Environmental Holdings, LLC <br />Policy No.: WC 1868045-00 <br />WC 00 03 13 <br />(Ed. 4-84) <br />i 1983 National Council on Compensation Insurance. <br />REVIEWED & APPROVED <br />By Risk MANA4EMENT DIViS10N <br />APR( 2020 <br />ANftiE ACmdo <br />
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