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2024-236-E-AMS-AOA Signs-SHSC Signage
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2024-236-E-AMS-AOA Signs-SHSC Signage
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Last modified
5/28/2024 9:10:33 AM
Creation date
5/28/2024 9:10:18 AM
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Template:
Contract
Date
4/16/2024
Contract Starting Date
4/16/2024
Contract Ending Date
4/25/2024
Contract Document Type
Contract
Amount
$15,242.42
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Form WC 00 03 13 Printed in U.S.A. <br />WAIVER OF OUR RIGHT TO RECOVER <br />FROM OTHERS ENDORSEMENT <br />Endorsement Number:Policy Number: 22 WEC BA1Z1S <br />Effective Date Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address:AOA SIGNS INC <br />214 E CHERRY ST <br />YADKINVILLE NC 27055 <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. <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />SCHEDULE <br />Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. <br />Endorsement is not applicable in KY, NH, NJ or for any MO construction risk <br />DocuSign Envelope ID: 17579A7B-89F6-45AA-B34D-9D6BDE022562
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