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18-20509
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2018
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18-20509
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Last modified
3/18/2019 8:13:18 AM
Creation date
3/18/2019 8:13:16 AM
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Building Department
Company Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
18-20509
Building Department - Name
FLORIDA HOSPITAL OF ZEPHYRHILLS
Address
7050 GALL BLVD
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WC 00 0313 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce'our <br /> right against the:person or organization named in the Schedule.-(This agreement applies only to the,extent that you <br /> perform work under a written contract that requires you to obtain this agreement from us.). <br /> This:agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule <br /> 1. ( ) Specific.Waiver <br /> Person or.Organization Job Description <br /> 2. (x) Blanket Waiver <br /> Any person or organization for whom the Named Insured has agreed by written contract to furnish <br /> this waiver. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> Endorsement E fecti4e 06/07/15 Policy No.73-872096-04-02 Endorsement No.61 <br /> Insured Pyrotecnico <br /> Insurance Company Countersigned By, <br /> Continental Indemnity Company IV <br /> (Ed.4-84) <br /> ©1983 National Council on Compensation Insurance. <br /> ^---n n --- <br />
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