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Entry Properties
Last modified
2/2/2023 1:11:49 PM
Creation date
6/22/2018 10:18:44 AM
Metadata
Fields
Template:
Contracts
Company Name
HB STAFFING
Contract #
A-2018-147
Agency
PERSONNEL SERVICES
Council Approval Date
6/5/2018
Expiration Date
6/30/2021
Destruction Year
2026
Notes
For Insurance Exp. Date see Notice of Compliance
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Endorsement 0 <br />Cancellation By Us ZURICH <br />Date of Pol. I Exp. Data or Pot, I Elf. Data of find. I Producer No. I Add'I Prem. I Return Pmm. <br />Named Insured and Matting Address: <br />Producer: <br />CathyJon Enterprises, Inc, dba HB Staffing <br />World Wide New York Insurance Services, Inc. <br />2120 Main Street <br />68 South Service Road Suite 235 <br />Suite 250 <br />Melville, NY 11747 <br />Huntington Beach, CA 92648 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided by the following: <br />Better and Machinery Coverage Form <br />Business Auto Coverage Form <br />Commercial Crime Coverage Form <br />Commercial General Liability Coverage Form <br />Commercial Inland Marine Coverage Form <br />Commercial Property Coverage Form <br />Farm Coverage Form <br />Garage Coverage Form <br />Liquor Liability Coverage Form <br />Motor Carrier Coverage Form <br />Pollution Liability Coverage Form <br />Products/Completed Operations Liability Coverage Form <br />Truckers Coverage Form <br />SCHEDULE <br />Number of Days' Nodee: 30 <br />Any person or organization with whom you have agreed to provide 30 days prior written notice of cancellation, as <br />identified on the list of such persons or organizations that is currently on file with the company <br />(If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this <br />endorsement.) <br />For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as <br />provided in paragraph 2, of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation <br />endorsement, is increased to the number of days shown in the Schedule above. <br />Signed by! <br />Authorized Representative <br />Date <br />U -GU -298-8 CW (04-90.) <br />Page 1 of 1 <br />
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