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2022-176-E-AMS-Williams Scotsman-Lease 2 Mobile Trailers for RENA
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2022-176-E-AMS-Williams Scotsman-Lease 2 Mobile Trailers for RENA
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Last modified
5/10/2022 11:28:13 AM
Creation date
5/10/2022 11:27:35 AM
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Template:
Contract
Date
5/9/2022
Contract Starting Date
5/9/2022
Contract Ending Date
5/10/2022
Contract Document Type
Contract
Amount
$67,227.76
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Workers' Compensation and Employers' Liability Policy <br /> <br />MOBILE MINI, IN C . <br />4646 E. VAN BUREN STREET <br />PHOENIX AZ 85008 Numbe r: C67815002 Symb ol: SCF <br /> Effective Date of Endorsement <br />1 1 -01 -20 20 TO 1 1 -01 -202 1 <br /> <br />ACE FIRE UNDERWRITERS INSURANCE COMPANY <br /> <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 <br />enforce our right against the person or organization named in the Schedule. This agreement applies only to the <br />extent that you 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 any one not named in the Schedule. <br />Schedule <br /> <br /> <br />For the states of CA, UT, TX, refer to state specific endorsements. <br />This endorsement is not applicable in KY, NH, and N J. <br /> <br /> <br />For Kansas, use of this endorsement is limited by the Kansas Fairness in Private Construction Contract Act(K.S .A .. <br />16-1801 through 16-1807 and any amendments thereto) and the Kansas Fairness in Public Construction Contract <br />Act(K.S.A 16-1901 through 16 -1908 and any amendments thereto) . According to the Acts a provision in a contract <br />for private or public construction purporting to waive subrogation rights for losses or claims covered or paid by <br />liability or workers compensation insurance shall be against public policy and shall be void and unenforceable <br />except that, subject to the Acts, a contract may require waiver of subrogation for losses or claims paid by a <br />consolidated or wrap-up insurance program. <br /> <br />WC 00 03 13 (11/05)Ptd.U .S.A.Copyright1982-83,NationalCouncilon Compensation <br />11-01-2021 TO 11-01-2022 11-01-2021 <br />C68929544 <br />DocuSign Envelope ID: F8EBDA2B-E1C9-4C03-80ED-E37FE36A5811
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