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KAISER FOUNDATION HEALTH PLAN, INC.
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Last modified
3/19/2024 3:17:32 PM
Creation date
3/19/2024 3:15:41 PM
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Contracts
Company Name
KAISER FOUNDATION HEALTH PLAN, INC.
Contract #
N-2024-099
Agency
Human Resources
Expiration Date
3/22/2024
Insurance Exp Date
1/1/2025
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POLICY NUMBER: UL 4048017 <br />COMMERCIAL GENERAL LIABILITY <br />CG 24 04 05 09 <br />WAVER OF TRANSFER OF RIGHTS OF RECOVERY <br />AGAINST OTHERS TO US <br />This endorsement modifies insurance provided underthefollowing: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name Of Person Or Organization: <br />Person(s) or Organization(s) as required by written contract when such <br />written contract is executed prior to an occurrence, offense or loss to <br />which this endorsement applies. <br />Any individually scheduled Waivers shall not be construed to override nor <br />neaate this blanket Waiver. <br />The following is added to Paragraph 8. Transfer Of <br />Rights Of Recovery Against Others To Us of <br />Section IV —Conditions: <br />We wake any right of recovery we may hake against <br />the person or organization shown in the Schedule <br />above because of payments we make for injury or <br />damage arising out of your ongoing operations or <br />"yourwork" done under a contract with that person or <br />organization and included in the "products -completed <br />operations hazard". This waiver applies only to the <br />person or organization shown in the Schedule above. <br />y._..F� RkeMamgemmtDMsiun <br />+Sr RenEv; & APPRovm er. <br />� tlil ll.lf'_L' A_I�Z AIZVd, <br />Risk Management Specialist <br />CG 24 0405 09 © Insurance Senices Office, Inc., 2008 Page 1 of 1 <br />CG 24 0405 09 © Insurance Senices Office, Inc., 2008 Page 1 of 1 <br />
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