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Last modified
5/2/2025 5:05:30 PM
Creation date
11/18/2021 1:37:33 PM
Metadata
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Template:
Contracts
Company Name
BEST BEST & KRIEGER LLP
Contract #
A-2021-217
Agency
City Attorney's Office
Council Approval Date
11/2/2021
Expiration Date
1/1/1900
Insurance Exp Date
4/30/2026
Notes
For Insurance Exp. Date see Notice of Compliance
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Attachment Code: D466017 Certificate ID: 11767171 <br /> WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY <br /> WC 124 <br /> (4-84) <br /> WC 00 03 13 <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> This endorsement changes the policy to which it is attached effective on the inception date of the policy <br /> unless a different date is indicated below. <br /> (The following"attaching clause" need be completed only when this endorsement is issued subsequent to <br /> preparation of the policy.) <br /> This endorsement, effective on 4/30/2025 at 12:01 A.M. standard time,forms a part of <br /> Policy No. 71750505 of the FEDERAL INSURANCE COMPANY <br /> issued to Best Best& Krieger LLP <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy.We <br /> will not enforce our right against the person or organization named in the Schedule.This agreement <br /> applies only to the extent that you perform work under a written contract that requires you to obtain <br /> this agreement from us. <br /> This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. <br /> Schedule <br /> JOB DESCRIPTION: ALL OPERATIONS BLANKET WAIVER—ANY PERSON OR <br /> ORGANIZATION FOR WHOM THE NAMED <br /> INSURED HAS AGREED BY WRITTEN CONTRACT <br /> TO FURNISH THIS WAIVER. <br /> WC 124 (4-84) <br /> WC 00 03 13 Copyright 1983 National Council on Compensation Insurance. <br />
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