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ALLIANCE ENVIRONMENTAL GROUP, INC. (4)
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ALLIANCE ENVIRONMENTAL GROUP, INC. (4)
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Last modified
3/25/2020 8:23:09 AM
Creation date
2/26/2018 4:25:20 PM
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Contracts
Company Name
ALLIANCE ENVIRONMENTAL GROUP, INC.
Contract #
N-2017-213-03
Agency
Parks, Recreation, & Community Services
Expiration Date
3/31/2018
Insurance Exp Date
1/29/2019
Destruction Year
2022
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Attachment Code : D544681 Master ID: 1444909, Certificate ID: 15189534 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 66 03 13 <br />(Ed. 04-84) <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 by this policy. We will <br />not enforce our right against the person or organization named in the Schedule. (This agreement applies <br />only to the extent that you perform work under a written contract that requires you to obtain this <br />agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />Any person or organization to whom you become obligated to waive your rights of recovery against, under any <br />contract or agreement you enter into prior to the occurrence of loss. <br />J <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless of i3plStgtr <br />information below Is required only when this endorsement is issued subsequent to preparation e,N5\ � of the policy.) <br />Endorsement Effective: 01/29/2018 Policy No.: 100 0002615 EnRorsement No.: <br />Insured: ALLIANCE ENVIRONMENTAL GROUP, INC. Premium: $1,594,366 <br />Insurance Company: STARR INDEMNITY & LIABILITY CO Countersigned by: Gv <br />WC 00 03 13 <br />(Ed. 04-84) Page 1 of 1 <br />
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