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Agmt11 County of San Mateo Alcohol and Drug Abuse Prevention Services
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Agmt11 County of San Mateo Alcohol and Drug Abuse Prevention Services
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Last modified
12/13/2011 3:31:39 PM
Creation date
12/13/2011 3:31:35 PM
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Template:
Agreement
Contractor Name
County of San Mateo with RWC 2020
PROJECT NAME
Alcohol and Drug Abuse Prevention Services
RMP File Number
304
Date
11/1/2011
MO Ref
11-163
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�. CSAC EXCESS INSURANCE AUTHORITY <br /> EXCESS WORKERS' COMPENSATION PROGRAM <br /> 2011/2012 SCHEDULE OF INSURERS <br /> City of Redwood City <br /> PROVIDER MEMORANDUMIPOLICY V � R <br /> NUMBER <br /> CastlePOint National Insuranee Compamr WSRSWC 700001-04 Workers' Compensation: <br /> (80%quote share) $ 875,000 me�dmum each accidenUeach <br /> employee for disease <br /> $ 875,000 me�dmum each acddent for <br /> commuNCable disease <br /> CSAC Exeass Insurance AuthoNty (ZO% EIA-PE 11 EWG700 (difference between $1,000,000 and the Individual <br /> quota share) members reteMion) <br /> Employers Llablllty: <br /> $ 875,000 Fzch Acciderrt <br /> $ 875,000 Each Ert�ployeeforDisease <br /> (difference between $1.000.000 end ttre individual <br /> member's reteMfon <br /> CSAC Excess Insurance Authority EIA-PE 11 EWG100 $ 4,000,000' each aoddent or each employee tor <br /> disease <br /> '(Maximum $4,000,0� or tha dHference of <br /> $5,000,000 and individual memb� retentlon greater <br /> than $1.000,000 <br /> ACE Amerlean Insuranee Comperry WCL C4624431A $ 45,OOD,000 each aoddeMleach empbyee for <br /> disease exceas oi $5,000,000 <br /> 5 45,000.000 e2ch acddeM for communicable <br /> disease excress of S5 000 000 <br /> National Unfon Fire I�uranee Company of 91-0602 Statutory each exfdenUeach empioyee for <br /> Pittsburgh, PA (Chartls) disease excess oT 550.000,000 <br /> I <br /> EWC below $1MIL PAGE 2 of 2 <br />
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