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GRAFFITI PROTECTIVE COATINGS, INC. (2)
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GRAFFITI PROTECTIVE COATINGS, INC. (2)
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Last modified
4/25/2022 10:06:46 AM
Creation date
4/25/2022 9:54:19 AM
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Contracts
Company Name
GRAFFITI PROTECTIVE COATINGS, INC.
Contract #
A-2022-056
Agency
Public Works
Council Approval Date
4/5/2022
Expiration Date
10/31/2023
Insurance Exp Date
1/1/2023
Destruction Year
2027
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WAIVER OF OUR RIGHT TO RECOVER FROMOTHERS ENDORSEMENT - <br />CALIFORNIA <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to the <br />extent that you perform work under a written contract that requires you to obtain this agreementfrom us.) <br />You must maintain payroll records accurately segregating the remuneration of your employees while engaged in <br />the work described in the Schedule. <br />The additional premium for this endorsement shall be 2% of the California workers' compensation premium <br />otherwise due on such remuneration. <br />Schedule <br />Additional premium is a percent of the California Manual Workers Compensation premium. Subjectto a minimum <br />premium charge of $ 250 per policy. <br />Person or Organization Job Description <br />Where required by contract or Any <br />written agreement prior to loss and <br />allowed by law. <br />Issued by Liberty Mutual Fire Insurance Company16586 <br />Issued to Graffiti Protective Coatings, Inc, <br />WC 04 03 06 <br />Ed: 04/1984 <br />Rule ManagementDi dsian <br />REVIEWEQ& APPRovm flly. <br />^ <br />®' Risk Management Specialist <br />
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