Laserfiche WebLink
EXTENSION OF THE INFORMATION PAGE - ITEM 3.1) - ENDORSEMENTS <br />Policy Number: 6 WEG B❑3❑P❑ Endorsement Number: <br />Effective Date: 11/04/2❑ Effecti❑e Eolir is t❑e same as stated on t❑e Information Page of tie policy. <br />Named Insured and Address: Beginners Edge Sports Training <br />❑432 E TIERRA B❑E❑A L❑ <br />SCOTTSDALE All 8E260 <br />Item 3.D. of t❑e Information Page is completed to incl❑de t❑e following endorsements[] <br />WC040306 <br />WAI _ER OF O❑R RIG❑T TO RECO❑ER FROM OT❑ERS E❑DORSEME❑T - <br />CALI FOR❑IA <br />WC040360B <br />EMPLOYERS LIABILITY CO❑ERAGE AME❑DATORY E❑DORSEME❑T - CALIFOR❑IA <br />WC040421 <br />OPTIO❑AL PREMI❑M 111CREASE E❑DORSEME❑T - CALIFOR❑IA <br />WC040601 B <br />CALIFOR❑IA CA❑CELATIO❑ E❑DORSEME❑T <br />WC420301L <br />TE-AS AME❑DATORY E❑DORSEME❑T <br />WC11❑0011 D <br />Employees Claim for WorEors compensation Benefits <br />WC❑E0022A <br />❑OTICE TO WOR❑ERSCCOMPE❑SATIO❑ POLICY❑OLDERS I❑ TEAS LETTER <br />WC88040011 <br />❑otice to Employees - In❑ries CaCised By Wor❑ TITLE I ❑ SPA❑IS❑❑ <br />WC880401 ❑ <br />❑otice to Employees - In❑ries CaE8ed By Wor❑ <br />WC990001 ❑ <br />Signat❑re/Copyrig::t <br />WC990002 <br />WOR❑ERS-COMPE❑SATIO❑ A❑D EMPLOYERSIIABILITY B❑SI❑ESS I❑S❑RA❑CE <br />POLICY <br />WC99000❑ <br />SC❑ED❑LE OF OPERATIO❑S <br />WC990302B <br />WOR❑ERS COMPE❑SATIO❑ BROAD FORM E❑DORSEME❑T <br />WC9903-813 <br />AME❑DME❑T TO WOR❑ERS COMPE❑SATIO❑ BROAD FORM E❑DORSEME❑T - <br />EMPLOYERS LIABILITY STOP GAP CO❑ERAGE <br />WC990366 <br />E❑TE❑SIO❑ OF T❑E I❑FORMATIO❑ PAGE - ITEM 1 - OT❑ER WOR❑PLACES <br />WC9903611 <br />E❑TE❑SIO❑ OF T❑E 111FORMATIO11 PAGE - ITEM 3.A - STATES CO❑ERED <br />WC990368 <br />E❑TE❑SIO❑ OF T❑E 111FORMATIO11 PAGE - ITEM 3.D. - E❑DORSEME❑TS <br />Form WC 99 03 68 Printed in ❑.S.A. <br />Process Date: 11 /04/2 ❑ Policy Expiration Date: 11 /04/26 <br />