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ANDERSONPENNA PARTNERS, INC.
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ANDERSONPENNA PARTNERS, INC.
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Last modified
8/12/2025 10:15:32 AM
Creation date
7/17/2018 2:52:28 PM
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Contracts
Company Name
ANDERSONPENNA PARTNERS, INC.
Contract #
A-2018-159-04
Agency
PUBLIC WORKS
Council Approval Date
6/19/2018
Expiration Date
6/18/2021
Destruction Year
2030
Notes
TERM PER PWA 2025.06.27
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officer's or employee's employment. The <br />officer's or employee's last day of last <br />exposure to the conditions causing or <br />aggravating such bodily injury by <br />disease must occur during the policy <br />period. <br />B. We Will Pay <br />We will pay an amount equal to the benefits <br />that would be required of you as if you and <br />your employees were subject to the workers' <br />compensation law of any state shown in Item <br />3.A. of the Information Page. We will pay <br />those amounts to the persons who would be <br />entitled to them under the law. <br />C. Exclusion <br />This insurance does not cover: <br />1. any obligation imposed by workers' <br />compensation or occupational disease <br />law or any similar law. <br />2. bodily injury intentionally caused or <br />aggravated by you. <br />3. officers or employees who have elected <br />not to be subject to the state workers' <br />compensation law. <br />4. partners or sole proprietors not covered <br />under the Standard Sole Proprietors, <br />Partners, Officers and Others Coverage <br />Endorsement. <br />D. Before We Pay <br />Before we pay benefits to the persons <br />entitled to them, they must: <br />1. Release you and us, in writing, of all <br />responsibility for the injury or death. <br />2. Transfer to us their right to recover from <br />others who may be responsible for the <br />injury or death. <br />3. Cooperate with us and do everything <br />necessary to enable us to enforce the <br />right to recover from others. <br />If the persons entitled to the benefits of this <br />insurance fail to do those things, our duty to <br />pay ends at once. If they claim damages <br />from you or from us for the injury or death, <br />our duty to pay ends at once. <br />E. Recovery From Others <br />If we make a recovery from others, we will <br />keep an amount equal to our expenses of <br />recovery and the benefits we paid. We will <br />pay the balance to the persons entitled to it. <br />Form WC 99 03 03 B Printed in U.S.A. (Ed. 8/00) <br />If the persons entitled to the benefits of this <br />insurance make a recovery from others, they <br />must reimburse us for the benefits we paid <br />them. <br />F. Employers' Liability Insurance <br />Part Two (Employers' Liability Insurance) <br />applies to bodily injury covered by this <br />endorsement as though the State of <br />Employment was shown in Item 3.A. of the <br />Information Page. <br />This provision 5. does not apply in New Jersey or <br />Wisconsin. <br />EMPLOYERS' LIABILITY STOP GAP COVERAGE <br />6. Employers' Liability Stop Gap Coverage <br />A. This coverage only applies in Montana, <br />North Dakota, Ohio, Washington, West <br />Virginia and Wyoming. <br />B. Part One (Workers' Compensation <br />Insurance) does not apply to work in states <br />shown in Paragraph A above. <br />C. Part Two (Employers' Liability Insurance) <br />applies in the states, shown in Paragraph A., <br />as though they were shown in Item 3.A. of <br />the Information Page. <br />D. Part Two, Section C. Exclusions is changed <br />by adding these exclusions. <br />This insurance does not cover; <br />5. bodily injury intentionally caused or <br />aggravated by you or in Ohio bodily <br />injury resulting from an act which is <br />determined by an Ohio court of law to <br />have been committed by you with the <br />belief than an injury is substantially <br />certain to occur. However, the cost of <br />defending such claims or suits in Ohio is <br />covered. <br />13. bodily injury sustained by any member of <br />the flying crew of any aircraft. <br />14, any claim for bodily injury with respect to <br />which you are deprived of any defense <br />or defenses or are otherwise subject to <br />penalty because of default in premium <br />under the provisions of the workers' <br />compensation law or laws of a state <br />shown in Paragraph A. <br />E. This insurance applies to damages for which <br />you are liable under West Virginia Code <br />Annot. S 23-4-2. <br />Page 3 of 6 <br />REVIEWED BY: EUNICE HEREDIA (P OF ) <br />
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