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SASSOON, MAUREEN, DR., MS, MPH
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SASSOON, MAUREEN, DR., MS, MPH
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Last modified
4/23/2021 4:19:20 PM
Creation date
8/16/2019 10:13:03 AM
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Contracts
Company Name
SASSOON, MAUREEN, DR., MS, MPH
Contract #
N-2019-144
Agency
HUMAN RESOURCES
Expiration Date
6/30/2021
Insurance Exp Date
7/1/2021
Destruction Year
2026
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Named Insured Endorsement Number <br />Dr. Maureen Sassoon <br />Policy Symbol Policy Number Policy Period Effective Data of Endorsement <br />ECP G24270427 009 07/01/2020 to 07/01/2021 07/01/2020 <br />Issued By (Name of Insurance company) <br />Westchester Surplus Lines Insurance Company <br />insen me polcy numoer. I ne rsnNlnder of the Information is to be completed only when this endorsement is issued subsequent to the Praparstlun 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 Omanizafion� <br />As required by written contract, prior to a loss to which this insurance applies <br />- - •-•1-r•r W,. 1"u j� t... Ulllfilum ens enuulsernent win oe snown in the ueclarations as applicable to this <br />endorsement) <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 />REVIEWED & APPROVED <br />By Risk MANaGEMENT Division <br />JU 2020 <br />ANC1iE ACEVEdO <br />ENV-3143 (03-05) Includes copyrighted material of Insurance Services Office, Inc. with Its permission Page 1 of 1 <br />
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