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MGT OF AMERICA, INC. 2 - 2013
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MGT OF AMERICA, INC. 2 - 2013
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Last modified
10/9/2013 8:57:46 AM
Creation date
9/18/2013 11:53:43 AM
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Contracts
Company Name
MGT OF AMERICA, INC.
Contract #
N-2013-114
Agency
PUBLIC WORKS
Insurance Exp Date
7/1/2014
Destruction Year
0
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MGT of America, Inc. Policy 3011086712 All Other <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 OS 13 <br />(5d. 4-136) <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 bythis pt*oy. We will not enforce our <br />right against the person or organizatlon named In the Schedule. (This agreement appllss only to the extent that you <br />perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate'dfreorly, or Incurectty to benefit anyone not named in the Schedule. <br />Schedule <br />ANY PERSON OR ORgANIZATION ON WHOSE BMW r YOU ARE REOVIRED TO OBTAIN <br />TUS WAIVER OV OUR RIGHT TO RECOVER rROM MOM A WRITTEN CONTRACT <br />OR AGREEMENT. <br />Tble endorsement charges the polloy to anlob it ]a anachad and I$ erfectlve on the date Issued unlees olhsrMse etefed. <br />(The 1111=RUOn haloes Is rsqulmd only whantnrs arx[AWMem Is bsuod subeopent to proparelbn of the policy.) <br />Endorsomentklrecifve PnW No. EndorsemonlNo. <br />Insured Pmr&m$ <br />Ineurmos CompRrgr <br />Countsrelgned by <br />WC OO 0813 <br />(Ed, 484) Copylipbt U06 NR1ons1 Council on CompensRUon insurance.
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