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2024-100-E-AMS-Advanced Seal Coating-Multiple Facilities, Parking Lot Painting
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2024-100-E-AMS-Advanced Seal Coating-Multiple Facilities, Parking Lot Painting
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Last modified
4/8/2024 11:12:13 AM
Creation date
4/8/2024 11:12:04 AM
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Template:
Contract
Date
2/9/2024
Contract Starting Date
2/9/2024
Contract Ending Date
2/14/2024
Contract Document Type
Contract
Amount
$4,000.00
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1 <br /> <br /> <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />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 right <br />against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work und er a <br />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 />“Organizations for which the Named Insured has agreed to by written contract executed prior to the loss to furnish waiver” <br /> <br />©1984 National Council on Compensation Insurance, Inc. <br /> <br /> <br /> <br />ERIE INSURANCE <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY <br />WC 00 03 13 (Ed. 1/86) UF-8641 Policy #: Q857100229 <br />DocuSign Envelope ID: 8F86AF8C-9F72-43C3-BB86-EA43CDE60DAF
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