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Entry Properties
Last modified
4/17/2025 2:03:53 PM
Creation date
7/5/2023 10:45:50 AM
Metadata
Fields
Template:
Contracts
Company Name
HELPMATES STAFFING
Contract #
A-2023-122-03
Agency
Human Resources
Council Approval Date
6/20/2023
Expiration Date
6/30/2026
Insurance Exp Date
5/10/2025
Destruction Year
2031
Notes
For Insurance Exp. Date see Notice of Compliance
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POLICY NUMBER: PHPK2655529-006 COMMERCIAL AUTO <br />CA04440310 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US (WAIVER OF SUBROGATION) <br />This endorsement modifies insurance provided under the following: <br />BUSINESS AUTO COVERAGE FORM <br />BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM <br />GARAGE COVERAGE FORM <br />MOTOR CARRIER COVERAGE FORM <br />TRUCKERS COVERAGE FORM <br />With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- <br />fied by the endorsement. <br />This endorsement changes the policy effective on the inception date of the policy unless another date is indicated <br />below. <br />Named Insured: Alliance Solutions Group, LLC <br />Endorsement Effective Date: 02/13/2025 <br />SCHEDULE <br />Name(s) Of Person(s) Or Organ ization(s): <br />Any person or organization who you are required to add by written contract which is executed prior to the <br />occurrence of a loss to waive your rights of recovery, except for a loss resulting from the sole negligence from <br />that person or organization. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />The Transfer Of Rights Of Recovery Against Oth- <br />ers To Us Condition does not apply to the person(s) <br />or organization(s) shown in the Schedule, but only to <br />the extent that subrogation is waived prior to the "ac- <br />cident" or the 'loss" under a contract with that person <br />or organization. <br />CA 04 44 03 10 © Insurance Services Office, Inc., 2009 Page 1 of 1 <br />
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