My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
Clerk
>
Contracts / Agreements
>
W
>
WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/30/2025 3:07:08 PM
Creation date
8/18/2022 9:45:41 AM
Metadata
Fields
Template:
Contracts
Company Name
WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
Contract #
A-2022-152
Agency
Human Resources
Council Approval Date
8/2/2022
Expiration Date
6/30/2025
Insurance Exp Date
8/1/2025
Notes
For Insurance Exp. Date see Notice of Compliance
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
32
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
MS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Irk**% <br />FARM E R a E3306 <br />INSURANCE I st Edition <br />WAIVER OF TR INSFER OF RIGHTS OF RECOVERY <br />AG A G INSTOTHERSTOUS <br />05i2-0i2024,1 <br />Effective -bat -e- "--- ��'o <br />This endorsernent modifies instirance providEci �nder the fullowirig: <br />B USI N ESSOWNERS COMM 0 N POLICY CC N D I T1 ONS - 6 P 00 09 <br />SCHEDULE <br />Name of Person or Organization: <br />CITY OF SANTA ANA RISK �AANAGE M EINT D 11 SJO N <br />It no entry appears above, information reclLdre to compm <br />lete this Endorsement ust be-showniin the Declariatioiis as <br />nm <br />applicable to this edorseent.) 11 <br />Tj-lie provislo ris of the BLI'SifleSSOW11el'S Com Imo n Po I icy Co ndi boos. a re mod if ic-d by th is enda rsernent as follows: <br />r ahis Co i -�d I t io ii K. Tyra nsfe r 0 f Rig h is Of Recove:ry t <br />Others To Us in the Bu-si nessowners Corte tnon P licy <br />Coi id III o ns is amend by the add Itila n of the fo171cowi ng-. <br />3. We waive any right of recovery we. may have agairiot the <br />person o r oi'q a nization shown i n the Schedd le above <br />because of payments we make (a r inil.] ry or da niage <br />a rising ising out of your ark done under a contr ctwith that <br />person or organization a nd incl ud ed In the <br />P rod u cts- ca rn P] et e d o pe ra t io n s hard. T h -s Y-v a ive r <br />ap plies o ri ly to the- person o r orgy nizatio n s. own in the <br />Sr- hed u le a 13 ove. <br />This endonsement Is 13aft of your policy. It Super eider and cmitrols, anything to the cap M-ary, It Is 4c.) t I i P�-uv I s i j <br />d I I t he to r1l 15 Of the PU 6 L Y. f <br />E3306-EDI 6-97 1 f i r, 1. u d us Cc py rig hLed Mats i a I v F I risv ra nct-- Servi Ce S 0 f fice, I I I.C., Vf i tf 0 ESN Per TFIi!i 0 1, 1. <br />Ri&MmsganeniDMs1on <br />REVIEWED & APPRovED By. <br />Xi <br />Risk Management Specialist <br />NJ <br />
The URL can be used to link to this page
Your browser does not support the video tag.