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EVERGREEN SOLUTIONS, LLC
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EVERGREEN SOLUTIONS, LLC
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Last modified
10/15/2024 10:22:18 AM
Creation date
10/15/2024 10:21:20 AM
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Contracts
Company Name
EVERGREEN SOLUTIONS, LLC
Contract #
A-2024-150
Agency
Human Resources
Council Approval Date
10/1/2024
Expiration Date
9/30/2025
Insurance Exp Date
8/17/2025
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> BLANKET WAIVER OF SUBROGATION - AUTO <br /> This endorsement modifies insurance provided under the following: <br /> BUSINESS AUTO COVERAGE FORM <br /> This endorsement changes the policy effective on the inception date of the policy unless another date is indi- <br /> cated below. <br /> Endorsement Effective: Policy Number: <br /> 08-17-2024 EBA 058 66 01 <br /> Named Insured: <br /> EVERGREEN SOLUTIONS LLC <br /> Countersigned by. <br /> (Authorized Representative) <br /> With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless <br /> modified by the endorsement. <br /> 1. Blanket Waiver of Subrogation payments we make for"bodily injury" or"prop- <br /> ertySECTION IV - BUSINESS AUTO CONDI- damage" arising out of the operation of a <br /> covered "auto"when you have assumed liabil- <br /> TIONS, A. Loss Conditions, 5. Transfer of ity for such "bodily injury"or"property damage" <br /> Rights of Recovery Against Others to Us is under an"insured contract", provided the "bod- <br /> amended by the addition of the following: ily injury"or "property damage" occurs subse- <br /> We waive any right of recovery we may have quent to the execution of the "insured con <br /> against any person or organization because of tract". <br /> Risk Atonement Division <br /> `` REVIEWED 6,APPROVED BY: <br /> ®, Risk Management Specialist <br /> AA 4172 09 09 / <br />
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