My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
CROSSTOWN ELECTRICAL & DATA, INC.-2012
Clerk
>
Contracts / Agreements
>
C
>
CROSSTOWN ELECTRICAL & DATA, INC.-2012
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/4/2020 9:37:01 AM
Creation date
1/14/2013 9:46:04 AM
Metadata
Fields
Template:
Contracts
Company Name
CROSSTOWN ELECTRICAL & DATA, INC.
Contract #
A-2012-177
Agency
PUBLIC WORKS
Council Approval Date
8/20/2012
Expiration Date
6/30/2015
Insurance Exp Date
6/3/2013
Destruction Year
2020
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
44
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
. 41 <br />0-1- <br />ZURICH <br />WORKERS CO-NIPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- <br />CALIFORNIA <br />We have the right to recover from our payments from anyone liable for an injury covered by this policy. We will not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent <br />that you perform 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 enrployees while engaged in the <br />work described in the Schedule. <br />'I he additional premium for this endorsement shall be 0.0 °4o of the California workers' compensation premium <br />otherwise due on such remuneration. <br />SCHEDULE <br />Person or Organization: <br />Any person or organization that the insured is required by written contract to name as an additional insured. <br />CITY OF SANTA ANA. ALONG WITH ITS OFFICERS, AGENTS, REPRESENTATIVES, & EMPLOYEES ARE LISTED AS ADDITIONAL <br />INSURED: RE. CITY OF SANTA ANA! TRAFFIC ENGINEERING (CT 1695) <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: 06/03/2012 Policy No.: WC966082001 Endorsement No.: I <br />Named Insured: CROSSTOWN ELECTRICAL & DATA, INC. <br />Policy Effective Date: 06/03/2012 to 06/03/2013 <br />Insurance Company: AMERICAN ZURICH INSURANCE COMPANY <br />e /7m re If <br />WC 252 (4-84) <br />WC 04 03 06 (Ed. 4-84) <br />Countersigned By
The URL can be used to link to this page
Your browser does not support the video tag.