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Last modified
4/17/2025 11:34:54 AM
Creation date
6/21/2021 4:05:12 PM
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Contracts
Company Name
BURKE WILLIAMS SORENSON LLP
Contract #
N-2021-133
Agency
Human Resources
Expiration Date
5/31/2022
Insurance Exp Date
8/1/2025
Destruction Year
2027
Notes
CTrax
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SCHEDULE OF UNDERLYING <br />INSURANCE POLICIES (Continued) <br />POLICY NUMBER: 72 XHU UR4585 <br />Insurer, Policy Number and Period Type of Coverage Applicable Limits <br />(D) Other (Specify) <br />HARTFORD FIRE INSURANCE COMPANY <br />72 UUN UR4713 <br />08/01/21 TO 08/01/22 <br />EMPLOYEE BENEFITS LIABILITY $1,000,000 EACH CLAIM <br />LIMIT <br />$1,000,000 AGGREGATE LIMIT <br />Note Maintenance of Underlying Insurance Condition <br />* Except that in any jurisdiction where the amount of Employers' Liability Coverage afforded by the underlying insurer is by <br />law unlimited, the limit stated does not apply and the policy of which this schedule forms a <br />with respect to Employers' Liability in such jurisdiction. �oRaN a Risk Mwage:medDMsian <br />REVIEWED & APPROVED SY.- <br />} z <br />f t" R. W&Wd <br />Form XL 00 05 05 02 <br />PAGE 2 Risk Management Analyst <br />
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