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12-21-2020 BOC Regular Meeting
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12-21-2020 BOC Regular Meeting
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Last modified
2/22/2021 11:31:47 AM
Creation date
2/22/2021 11:31:44 AM
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Admin-Clerk
Document Type
Minutes
Committee
Board of Commissioners
Date
12/21/2020
Book No
32
Page No
325
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• <br /> POLICY NUMBER: UVCS8613428 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed.4-84) <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 not enforce our <br /> right against the person or organization named in the Schedule. (This agreement applies 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 directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule' <br /> 'Information required to complete this schedule, if not shown above.will be shown in the supplemental schedule of the Declarations. <br /> WC 00 03 13 <br /> (Ed.4-84) <br /> Copyright,1983 National Council on Compensation Insurance. <br /> 12/06/2019 09:23:16 <br />
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