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TRAVELERS J WORKERS COMPENSATION <br /> AND <br /> ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY <br /> HARTFORD CT 06183 <br /> ENDORSEMENT WC 00 00 01 (A) <br /> POLICY NUMBER: UB-3T085335-24-14-G <br /> LISTING OF ENDORSEMENTS <br /> EXTENSION OF INFO PAGE <br /> We agree that the following listed endorsements form a part of this policy on its effective date. <br /> WC 32 06 01 B - 003 CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> WC 32 06 01 B - 004 CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> WC 32 06 01 B - 005 CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> WC 32 06 01 B - 006 CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> WC 32 06 01 B - 007 CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> WC 32 06 01 B - 008 CANCELLATION AND NON-RENEWAL ENDORSEMENT <br /> WC 36 04 02 00 - 001 OREGON CONTRACTING CLASS PREM ADJ ENDT. <br /> WC 36 06 01 E - 001 OR CANCELLATION ENDORSEMENT <br /> WC 37 04 02 00 - 001 PA CONSTRUCTION CLASS PREM ADJ ENDT. <br /> WC 37 06 01 00 - 001 SPECIAL PA ENDT - INSPECTION OF MANUALS <br /> WC 37 06 02 00 - 001 NOTICE INS CONSULTATION SERVICE EXEMPT. <br /> WC 37 06 03 A - 001 PA ACT 86-1986 ENDORSEMENT <br /> WC 37 06 04 00 - 001 PA EMPLOYER ASSESSMENT ENDORSEMENT <br /> WC 39 06 01 00 - 001 SC CANCELLATION AND NONRENEWAL ENDT <br /> WC 42 03 01 L - 001 TEXAS AMENDATORY ENDORSEMENT <br /> WC 42 03 04 B - 001 TX WAIVER OF OUR RIGHT TO RECOVER <br /> WC 42 03 04 B - 002 TX WAIVER OF OUR RIGHT TO RECOVER <br /> WC 43 03 05 00 - 001 UTAH WAIVER OF SUBROGATION ENDORSEMENT <br /> WC 43 03 05 00 - 002 UTAH WAIVER OF SUBROGATION ENDORSEMENT <br /> WC 43 06 01 00 - 001 UT WORKPLACE SAFETY PROG ENDT <br /> WC 43 06 02 00 - 001 UTAH CANCELLATION ENDORSEMENT <br /> WC 44 06 01 00 - 001 VERMONT LAW ENDORSEMENT <br /> WC 44 06 02 C - 001 VT CANCELLATION AND NONRENEWAL ENDT <br /> WC 45 06 02 00 - 001 VA AMENDATORY ENDT <br /> WC 45 06 04 00 - 001 VIRGINIA CONTRACTING CLASS PREM. ADJUST <br /> WC 48 03 19 00 - 001 NOT CAN OR MAT COV CHG TO DESIG GOV ENT <br /> WC 48 03 19 00 - 002 NOT CAN OR MAT COV CHG TO DESIG GOV ENT <br /> WC 48 06 01 C - 001 WISCONSIN LAW ENDORSEMENT <br /> WC 48 06 06 B - 001 WISCONSIN CANCELLATION AND NON RENEWAL <br /> WC 99 03 J3 K - 001 EXTEND CLASS SCHED ENDT CONST & ERECT-CA <br /> WC 99 03 J9 00 - 001 KS WAIVER OF OUR RIGHT TO RECOVER <br /> WC 99 03 J9 00 - 002 KS WAIVER OF OUR RIGHT TO RECOVER <br /> WC 99 06 46 00 - 001 ILLINOIS AMENDATORY ENDORSEMENT <br /> DATE OF ISSUE: 05-28-24 ST ASSIGN: APPROVED <br /> By Cynthia Mora at 8:13 am, Oct 31, 2024 <br /> J <br />