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LIDGARD AND ASSOCIATES 6 -2010
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LIDGARD AND ASSOCIATES 6 -2010
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Last modified
7/30/2012 9:48:09 AM
Creation date
6/16/2010 7:48:26 AM
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Contracts
Company Name
LIDGARD AND ASSOCIATES
Contract #
N-2010-047
Agency
COMMUNITY DEVELOPMENT
Insurance Exp Date
3/4/2013
Destruction Year
0
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CNA G-1slso-s <br />(Ed. 11/97) <br />WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY <br />BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />This endorsement changes the policy to which it is attached <br />It is agreed that Part One Workers' Compensation Insurance G. Recovery From Others and Part Two Employers' <br />Liability Insurance H. Recovery From Others are amended by adding the following: <br />We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you to obtain this agreement from us.) <br />PREMIUM CHARGE - <br />The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California <br />exposure. The amount is %. <br />G-19160.6 <br />(Ed. 11/97) Page 1 of 1
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