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AEF SYSTEMS CONSULTING
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Last modified
4/28/2022 9:27:34 AM
Creation date
7/13/2021 2:59:02 PM
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Contracts
Company Name
AEF SYSTEMS CONSULTING
Contract #
N-2021-144
Agency
Parks, Recreation, & Community Services
Expiration Date
6/30/2022
Insurance Exp Date
8/23/2022
Destruction Year
2027
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />EMPLOYERS' LIABILITY COVERAGE AMENDATORY <br />ENDORSEMENT - CALIFORNIA <br />Policy Number: 72 WEC AB1Z50 Endorsement Number: <br />Effective Date: 02/01/20 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: AEF Systems Consulting Inc <br />8502 E CHAPMAN AVE STE 376 <br />ORANGE CA 92869 <br />The insurance afforded by Part Two (Employers' Liability C. The "Exclusions" section is modified as follows (all <br />Insurance) by reason of designation of California in Item 3 other exclusions in the "Exclusions" section remain <br />of the Information Page is subject to the following as is): <br />provisions: 1. Exclusion 1 is amended to read as follows: <br />A. "How This Insurance Applies," is amended to read <br />as follows: <br />A. How This Insurance Applies <br />This employers' liability insurance applies to bodily <br />injury by accident or bodily injury by disease. <br />Bodily injury means a physical injury, including <br />resulting death. <br />1. The bodily injury must arise out of and in the <br />course of the injured employee's employment <br />by you. <br />2. The employment must be necessary or <br />incidental to your work in California. <br />3. Bodily injury by accident must occur during <br />the policy period. <br />4. Bodily injury by disease must be caused or <br />aggravated by the conditions of your <br />employment. The employee's last day of last <br />exposure to the conditions causing or <br />aggravating such bodily injury by disease <br />must occur during the policy period. <br />5. If you are sued, the original suit and any <br />related legal actions for damages for bodily <br />injury by accident or by disease must be <br />brought in the United States of America, its <br />territories or possessions, or Canada. <br />Countersigned by <br />Form WC 04 03 60 B Printed in U.S.A. <br />Process Date: 12/23/19 <br />1. liability assumed under a contract. <br />2. Exclusion 2 is deleted. <br />3. Exclusion 7 is amended to read as follows: <br />7. damages arising out of coercion, criticism, <br />demotion, evaluation, reassignment, <br />discipline, defamation, harassment, <br />humiliation, discrimination against or <br />termination of any employee, termination of <br />employment, or any personnel practices, <br />policies, acts or omissions. <br />4. The following exclusions are added: <br />1. bodily injury to any member of the Flying crew <br />of any aircraft. <br />2. bodily injury to an employee when you are <br />deprived of statutory or common law <br />defenses or are subject to penalty because <br />of your failure to secure your obligations <br />under the workers' compensation law(s) <br />applicable to you or otherwise fail to comply <br />with that law. <br />3. liability arising from California Labor Code <br />Section 2810.3 which relates to labor <br />contracting. <br />e <br />®' <br />RlakMv <br />cR EWED6pMaRw®DAB <br />Risk Management Analyst �. <br />
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