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PACIFIC CLEANING SERVICES 1 (2) - 2011
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PACIFIC CLEANING SERVICES 1 (2) - 2011
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Entry Properties
Last modified
10/21/2013 11:28:54 AM
Creation date
4/20/2011 4:01:27 PM
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Contracts
Company Name
PACIFIC CLEANING SERVICES
Contract #
N-2011-035
Agency
COMMUNITY DEVELOPMENT
Expiration Date
6/24/2011
Insurance Exp Date
9/21/2011
Destruction Year
2016
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WORKERS COMPENSATION AND EMPLOYERS LIA6ILITY INSURANCE POLICY WC 00 03 '13 <br />(Ed. 4-84) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone Itablo for an Injury covered by this policy. We will not enforce <br />our right against the person or organization named to the Schedute. (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 sfiall 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 />TIUs endorsement changes the policy to which It Is attached and is efleclfve on the dale Issued unless otherwise staled. <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 Paclflc Ctoaning Servfces.lnc. Paallio Window and Pressure NVashing Premium <br />Insurance Company Countersigned by <br />Companion Property & Casualty insurance <br />WC 00 03 13 <br />(Ed. 4-64) <br />,z?i?R? A;3 TO POktM <br />®7BB3 Nettonot Connell on Compensellon Insurance. LISA E. $'?ORC,K <br />Assistant City Attorney <br />3 /?' <br />EXHIBIT C
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