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SASSOON, DR. MAUREEN 4
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SASSOON, DR. MAUREEN 4
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Last modified
10/11/2018 8:44:59 AM
Creation date
8/13/2018 10:19:10 AM
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Contracts
Company Name
SASSOON, DR. MAUREEN
Contract #
N-2018-157
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2019
Insurance Exp Date
7/1/2019
Destruction Year
2024
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Named Insured <br />Dr. Maureen Sassoon <br />Endorsement Number <br />Policy symbol <br />ECP <br />Policy Number <br />624270427007 <br />Policy Period <br />07/01/2018to 07/01/2019 <br />Effective eateof Endorsement <br />07/01/2018 <br />Issued By (Name or insurance Company). <br />Westchester Surplus Lines Insurance Company <br />Insad the policy number. The remainder ofthe Information is to be completed only when this endorsement is Issued subsequent to the Preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />CONTRACTORS POLLUTION LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Oraanization• <br />Any person or organization that Is an owner of real property or personal property on which you are performing <br />operations, or a contractor on whose behalf you are performing operations, and only at the specific written request of <br />such person or organization to you, wherein such request is made prior to commencement of operations. <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this <br />The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition is amended by the addition of the <br />following: <br />We waive any right of recovery we may have against the person or organization shown in the Schedule above because of <br />payments we make for injury or damage arising out of your ongoing operations or your work done under a contract with <br />that person or organization and included in the products -completed operations hazard. This waiver applies only to the <br />person or organization shown In the Schedule above. <br />All other terms and conditions remain the same. <br />ENV -3143 (03-05) Includes copyrighted material of Insurance services Offlce,.Inc. with Its permission <br />Page 1 <br />
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