My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
TIBURON - 2015
Clerk
>
Contracts / Agreements
>
_PENDING FOLDER
>
READY TO DESTROY IN 2021
>
TIBURON - 2015
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
6/9/2017 2:32:47 PM
Creation date
5/5/2016 10:29:59 AM
Metadata
Fields
Template:
Contracts
Company Name
TIBURON
Contract #
A-2015-253
Agency
POLICE
Council Approval Date
11/17/2015
Expiration Date
11/30/2016
Insurance Exp Date
5/1/2017
Destruction Year
2021
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
67
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
WORKERS' COM PENSATIONIAND EMPLOYERS' LIABILITY INSURANCE POLICY <br />BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM 0TV&PS <br />This endorsement changes the policy to which it is attached. <br />It is agreed that Part One Workers' Compensation Insurance G. Recovery From Others and Part Two Employers' <br />Liability Insurance H. Recovery From Others are amended by adding the following: <br />We will not enforce our right to recover against persons or organizations, (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 />PREMIUM CHARGE - $328 <br />The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California <br />exposure. The amount is 2,%, <br />G-19160-6 Page 1 of I <br />(Ed. 11/97) <br />
The URL can be used to link to this page
Your browser does not support the video tag.