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BUCKNAM INFRASTRUCTURE GROUP, INC. (4)
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BUCKNAM INFRASTRUCTURE GROUP, INC. (4)
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Last modified
5/7/2025 9:35:57 AM
Creation date
5/7/2025 9:35:20 AM
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Contracts
Company Name
BUCKNAM INFRASTRUCTURE GROUP, INC.
Contract #
A-2025-033
Agency
Public Works
Council Approval Date
4/1/2025
Expiration Date
3/31/2028
Insurance Exp Date
9/16/2025
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� rn� <br /> Hanover4 <br /> Insurance Group_ <br /> WZCA399946 1309570 <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 <br /> right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform <br /> work 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 2% % of the California workers' compensation premium otherwise <br /> due on such remuneration. <br /> Schedule <br /> Person or Organization Job Description <br /> BLANKET AS REQUIRED BY CONTRACT <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 Policy No. WZC-A399946--10 Endorsement No. <br /> Insured <br /> Insurance CompanyTHE HANOVEP AMERICAN INSURANCE COMPANY <br /> Countersigned By <br /> WC 04 03 06 (Ed 04-84) <br />
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