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ORANGE COUNTY SUPERINTENDENT OF SCHOOLS -2014
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ORANGE COUNTY SUPERINTENDENT OF SCHOOLS -2014
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Last modified
8/6/2014 10:19:11 AM
Creation date
4/28/2014 12:07:56 PM
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Contracts
Company Name
ORANGE COUNTY SUPERINTENDENT OF SCHOOLS
Contract #
A-2014-017
Agency
POLICE
Council Approval Date
1/7/2014
Expiration Date
6/30/2016
Destruction Year
2021
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />LOSSES REDEFINED TO INCLUDE ALLOCATED LOSS ADJUSTMENT EXPENSES <br />ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />SPECIFIC EXCESS WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />PART FIVE — DEFINITIONS, E. "Loss(es)" is deleted in its entirety and replaced by the following: <br />E. "Loss(es)" means any payments for benefits required to be paid by you under the "Workers <br />Compensation Law" or any payments for damages arising out of "bodily injury by accident" or <br />"bodily injury by disease" covered either by PART ONE or PART TWO of this policy. "Loss(es)" <br />include "allocated loss adjustment expenses". <br />2. PART SEVEN — ALLOCATED LOSS ADJUSTMENT EXPENSES is deleted in its entirety. <br />All other terms and conditions of this policy remain unchanged. <br />Endorsement Number: 1 <br />Policy Number: WCX 0055277 00 <br />Named Insured: Western Oranae County Self- Funded Workers' Compensation Agency <br />This endorsement is effective on the inception date of this Policy unless otherwise stated herein: <br />Endorsement Effective Date: July 1. 2013 <br />00 GL0386 00 (01 08) Page 1 of 1 <br />
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