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HEALTH MANAGEMENT ASSOCIATES, INC.
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Last modified
8/24/2022 11:35:45 AM
Creation date
9/2/2021 2:11:23 PM
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Contracts
Company Name
HEALTH MANAGEMENT ASSOCIATES, INC.
Contract #
A-2021-165
Agency
Community Development
Council Approval Date
8/17/2021
Expiration Date
8/18/2022
Insurance Exp Date
4/1/2023
Destruction Year
2027
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F. Records <br />You will keep records of information needed to <br />compute premium. You will provide us with cop- <br />ies of those records when we ask for them. <br />G. Audit <br />You will let us examine and audit all your records <br />that relate to this policy. These records include <br />ledgers, journals, registers, vouchers, contracts, <br />tax reports, payroll and disbursement records, <br />and programs for storing and retrieving data. We <br />may conduct the audits during regular business <br />hours during the policy period and within three <br />years after the policy period ends. Information <br />developed by audit will be used to determine final <br />premium. Insurance rate service organizations <br />have the same rights we have under this provi- <br />sion. <br />PART SIX <br />CONDITIONS <br />A. Inspection <br />We have the right, but are not obliged to inspect <br />your workplaces at any time. Our inspections are <br />not safety inspections. They relate only to the <br />insurability of the workplaces and the premiums <br />to be charged. We may give you reports on the <br />conditions we find. We may also recommend <br />changes. While they may help reduce losses, we <br />do not undertake to perform the duty of any per- <br />son to provide for the health or safety of your <br />employees or the public. We do not warrant that <br />your workplaces are safe or healthful or that they <br />comply with laws, regulations, codes or stan- <br />dards. Insurance rate service organizations have <br />the same rights we have under this provision. <br />WC000000(C) <br />(Ed. 1-15) <br />B. Long Term Policy <br />If the policy period is longer than one year and <br />sixteen days, all provisions of this policy will ap- <br />ply as though a new policy were issued on each <br />annual anniversary that this policy is in force. <br />C. Transfer of Your Rights and Duties <br />Your rights or duties under this policy may not be <br />transferred without our written consent. <br />If you die and we receive notice within thirty days <br />after your death, we will cover your legal repre- <br />sentative as insured. <br />D. Cancelation <br />1. You may cancel this policy. You must mail or <br />deliver advance written notice to us stating <br />when the cancelation is to take effect. <br />2. We may cancel this policy. We must mail or <br />deliver to you not less than ten days advance <br />written notice stating when the cancelation Is <br />to take effect. Mailing that notice to you at <br />your mailing address shown in Item 1 of the <br />Information Page will be sufficient to prove <br />notice. <br />3. The policy period will end on the day and <br />hour stated in the cancelation notice. <br />4. Any of these provisions that conflict with a <br />law that controls the cancelation of the insur- <br />ance in this policy is changed by this state- <br />ment to comply with the law. <br />E. Sole Representative <br />The insured first named in Item 1 of the Informa- <br />tion Page will act on behalf of all insureds to <br />change this policy, receive return premium, and <br />give or receive notice of cancelation. <br />IN WITTINESS WHEREOF, the company has caused this policy to be signed by its President and Secre- <br />tary at Hartford, Connecticut and countersigned on the Information page by a duly authorized agent of <br />the company. <br />Secretary <br />© Copyright 20i9 National Council on Compensation Insurance, Inc. All Rights Reserved. <br />w- <br />President <br />Atek MaeqKnuitt nlvida, <br />t eE,AEVED6 APParrvEDav: <br />%ail P&w&' <br />____— - m:m,v,naee�rertani,aiaa� <br />
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