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Agmt05 California Public Entity
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Agmt05 California Public Entity
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Entry Properties
Last modified
4/16/2007 2:42:33 PM
Creation date
6/21/2005 10:42:40 AM
Metadata
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Template:
Agreement
Contractor Name
California Public Entity Insurance Authority
PROJECT NAME
worker's compensation excess insurance
RMP File Number
304
Date
6/16/2005
MO Ref
05-104
Box
6360
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<br />ENDORSEMENT NO.1 <br /> <br />CSAC EXCESS INSURANCE AUTHORITY' <br />SPECIFIC EXCESS WORKERS' COMPENSATION <br />COVERED PARTY AMENDATORY ENDORSEMENT <br /> <br />It is understood and agreed that the Covered Party is amended to read as follows: <br /> <br />City of Lompoc <br /> <br />It is further agreed that nothing herein shall act to increase the Authority's Limit of Indemnity. <br /> <br />This endorsement is part of the Memorandum of Coverage and takes effect on the effective <br />date of the Memorandum of Coverage unless another effective date is shown below. All othe <br />terms and conditions remain unchanged. <br /> <br />Effective Date: July 1. 2004 <br /> <br />Memorandum No.: CPEIA 04 EWC-55 <br /> <br />Issued to: City of Lompoc <br /> <br />Date: December 6. 2004 <br /> <br /> <br />...--.- --_. ..-..---.. <br />
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