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Agmt24 Marafuku (865 Middlefield)
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Agmt24 Marafuku (865 Middlefield)
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Last modified
9/13/2024 1:25:04 PM
Creation date
9/13/2024 1:24:43 PM
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Agreement
PROJECT NAME
Outdoor Business Activity License Agreement_9.10.2024
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84) <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 enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />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 anyone not named in the Schedule. <br />Schedule <br />The City of Redwood City, and its officers, officials, employees, and agents <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective Policy No. <br />Insured EK Food Services, Inc. EIG2728420 <br />Insurance Company Countersigned by <br />Employers Assurance Company <br />WC 00 03 13 <br />(Ed. 4-84) <br />© 1983 National Council on Compensation Insurance. <br />Endorsement No. <br />Premium <br />ATTY/AGR.2024.155/EK Food Services Inc (865 Middlefield Rd) (Page 22 of 25) <br />
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