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ENERGY EXPERTS INTERNATIONAL
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Last modified
8/19/2024 2:38:16 PM
Creation date
1/9/2023 4:07:33 PM
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Contracts
Company Name
ENERGY EXPERTS INTERNATIONAL
Contract #
N-2021-252-01
Agency
Public Works
Expiration Date
12/14/2023
Insurance Exp Date
8/1/2024
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />Any party with whom the insured agrees to waive subrogation in a written contract. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective 08/01/2022 <br />Insured <br />Energy Experts International <br />Insurance Company <br />Everest Premier Insurance Company <br />WC 00 03 13 <br />(Ed. 4-84) <br />© 1983 National Council on Compensation Insurance. <br />Policy No.E N4WC00371221 <br />Countersigned <br />Endorsement No. <br />Premium <br />Ri&MimaganadDhvlan <br />REIAe &APPRovEe By. <br />Aju Aawde <br />�'. <br />® Risk Managemen[Specialist <br />
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