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Auk <br /> 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 99 06 99 00 - 001 ND AMENDATORY ENDORSEMENT <br /> WC 99 06 R8 00 - 001 FL NOT OF CAN OR MAT TO DESIGN GOV ENTIT <br /> WC 99 06 R8 00 - 002 FL NOT OF CAN OR MAT TO DESIGN GOV ENTIT <br /> WC 99 06 T1 00 - 002 NY NOTICE CANCEL DESIGNATED GOV ENTITY <br /> WC 17 03 03 00 - 001 LOUISIANA DUTY TO DEFEND <br /> APPROVED <br /> By Cynthia Mora at 8:13 am, Oct 31, 2024 <br /> DATE OF ISSUE: 05-28-24 ST ASSIGN: Page 7 of 7 <br />