My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CENTRE FOR ORGANIZATION EFFECTIVENESS, THE
Clerk
>
Contracts / Agreements
>
C
>
CENTRE FOR ORGANIZATION EFFECTIVENESS, THE
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/3/2025 3:11:43 PM
Creation date
12/2/2024 12:49:06 PM
Metadata
Fields
Template:
Contracts
Company Name
CENTRE FOR ORGANIZATION EFFECTIVENESS, THE
Contract #
N-2024-380
Agency
Public Works
Expiration Date
6/30/2025
Insurance Exp Date
12/7/2025
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
49
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 <br /> (Ed. 04-84) <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right <br /> against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work <br /> under a written contract that requires you to obtain this agreement from us.) <br /> You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work <br /> described in the Schedule. <br /> The additional premium for this endorsement shall be 0.02 % of the California workers' compensation premium otherwise due <br /> on such remuneration. <br /> Schedule <br /> Person Or Organization Job Description <br /> Any person or organization as required by written contract <br /> within states covered under this policy. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective 12/10/2024 Policy No. WC PI 1700351-000 Endorsement No. <br /> Insured San Diego Centre For Organiza Insurance Company The Pie Insurance Company <br /> Countersigned By <br /> WC 04 03 06 <br /> (Ed. 04-84) <br />
The URL can be used to link to this page
Your browser does not support the video tag.