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2025-485-E-AMS-Decorative Concrete Coatings of N.C. Inc. dba Sundek of North Carolina-Continuation of Pool Deck Resurfacing
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2025-485-E-AMS-Decorative Concrete Coatings of N.C. Inc. dba Sundek of North Carolina-Continuation of Pool Deck Resurfacing
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Last modified
8/14/2025 3:26:23 PM
Creation date
8/14/2025 3:26:11 PM
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Contract
Date
8/8/2025
Contract Starting Date
8/8/2025
Contract Ending Date
8/10/2025
Contract Document Type
Contract
Amount
$106,981.00
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WORKERS COMPENSATION AND <br />EMPLOYERS LIABILITY <br />WC 00 03 13 (Ed. 1/86) UF-8641 <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 <br />our right against the person or organization named in the Schedule. <br />This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. <br />(Please see the Miscellaneous Information Page for Schedule.) <br />Copyright 1986 National Council on Compensation Insurance. <br />1 <br /> Policy Number: Q88-1200887 <br />ORGANIZATIONS FOR WHICH THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED <br />PRIOR TO THE LOSS TO FURNISH WAIVER. <br />Docusign Envelope ID: 83DA70D9-193E-414B-9C19-272291A5E9D6
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