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PACIFIC CLEANING SERVICES 1 -2011
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PACIFIC CLEANING SERVICES 1 -2011
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Last modified
10/21/2013 11:28:53 AM
Creation date
4/20/2011 3:51:17 PM
Metadata
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Template:
Contracts
Company Name
PACIFIC CLEANING SERVICES
Contract #
N-2011-034
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/17/2011
Insurance Exp Date
9/21/2011
Destruction Year
2016
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-64) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in the Schedule. (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 />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Any person or organization for whom the insured has a written contract requiring waiver of <br />subrogation. <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. CPCA11414 <br />Insured Pacific Cleaning Servtces.lnc. Pacific Window and Pressure Washing Premium <br />Insurance Company <br />Companion Property 8 Casualty Insurance <br />WC 000313 <br />(Ed. 4-84) <br />i <br />Countersigned by <br />® 7993 National EOUnell on Compenaallon rruuranea.
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