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ADMINSURE, INC. (4)
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ADMINSURE, INC. (4)
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Last modified
8/8/2024 1:36:44 PM
Creation date
8/27/2021 4:03:40 PM
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Contracts
Company Name
ADMINSURE, INC.
Contract #
A-2018-211-01
Agency
Human Resources
Council Approval Date
8/17/2021
Expiration Date
8/31/2023
Insurance Exp Date
1/1/2025
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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CG 00 01 04 13 <br />COVERAGE C — MEDICAL PAYMENTS <br />1. Insuring Agreement <br />We will pay medical expenses as described <br />below for "bodily injury" caused by an accident: <br />(1) On premises you own or rent; <br />(2) On ways next 10 premises you own or rent; <br />or <br />(3) Because of your operations; <br />provided that: <br />(a) The accident takes place in the <br />"coverage territory" and during the policy <br />period; <br />(b) The expenses are incurred and reported <br />to us within one year of the date of the <br />accident; and <br />(c) The injured person submits to <br />examination, at our expense, by <br />physicians of our choice as often as we <br />reasonably require. <br />b. We will make these payments regardless of <br />fault. These payments will not exceed the <br />applicable limit of insurance. We will pay <br />reasonable expenses for: <br />(1) First aid administered at the time of an <br />accident; <br />(2) Necessary medical, surgical, X-ray and <br />dental services, including prosthetic <br />devices; and <br />(3) Necessary ambulance, hospital, <br />professional nursing and funeral services. <br />2. Exclusions <br />We will not pay expenses for "bodily injury": <br />a. Any Insured <br />To any insured, except "volunteer workers". <br />b. Hired Person <br />To a person hired to do work for or on behalf of <br />any insured or a tenant of any insured. <br />c. Injury On Normally Occupied Premises <br />To a person injured on that part of premises <br />you awn or rent that the person normally <br />occupies. <br />Page 8 of 16 <br />d. Workers' Compensation And Similar Laws <br />To a person, whether or not an "employee" of <br />any insured, if benefits for the "bodily injury" <br />are payable or must be provided under a <br />workers' compensation or disability benefits <br />law or a similar law. <br />e. Athletics Activities <br />To a person injured while practicing, instructing <br />or participating in any physical exercises or <br />games, sports, or athletic contests. <br />f. Products -Completed Operations Hazard <br />Included within the "products -completed <br />operations hazard". <br />g. Coverage A Exclusions <br />Excluded under Coverage A. <br />SUPPLEMENTARY PAYMENTS — COVERAGES A <br />AND B <br />1. We will pay, with respect to any claim we <br />investigate or settle, or any "suit" against an <br />insured we defend: <br />a. All expenses we incur. <br />b. Up to $250 for cost of bail bonds required <br />because of accidents or traffic law violations <br />arising out of the use of any vehicle to which <br />the Bodily Injury Liability Coverage applies. We <br />do not have to furnish these bonds. <br />c. The cost of bonds to release attachments, but <br />only for bond amounts within the applicable <br />limit of insurance. We do not have to furnish <br />these bonds. <br />d. All reasonable expenses incurred by the <br />insured at our request to assist us in the <br />investigation or defense of the claim or "suit", <br />including actual loss of earnings up to $250 a <br />day because of time off from work. <br />e. All court costs taxed against the insured in the <br />"suit"- However, these payments do not include <br />attorneys' fees or attorneys' expenses taxed <br />against the insured. <br />f. Prejudgment interest awarded against the <br />insured on that part of the judgment we pay. If <br />we mare an offer to pay the applicable limit of <br />insurance, we will not pay any prejudgment <br />interest based on that period of tirn,e after the <br />offer_ <br />O Insurance Services Office, Inc., 2012 <br />CG 00 01 04 13 <br />Jy/\'x REVIEWED & APPROVED BY.- <br />v <br />--� Risk Pjanagement Analyst <br />
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