_22-23 WOS-Work.pdf

PDF 374 KB Posted

Attached to
Master Agreement AZ|CTR055539
Contract number
CTR055539
Issued by
Arizona

About this file

This document is a Workers Compensation and Employers Liability Insurance Policy endorsement issued by Church Mutual Insurance Company, S.I., effective from 01/01/2022 to 01/01/2023. The policy is for Intermountain Centers of Human Development (DBA), and specifically includes a Waiver of Right to Recover from Others Endorsement, which outlines the insurance carrier's rights and limitations in recovering payments for work-related injuries.

The endorsement provides a standard insurance policy with a policy number 0404323 07-284097, covering workers compensation for the insured organization. The document does not specify detailed pricing terms, goods, or services, but rather focuses on the insurance coverage mechanism and the carrier's rights in the event of workplace injuries. The policy appears to be a standard annual insurance contract with a one-year term, typical of workers compensation insurance policies that protect both employers and employees in case of work-related injuries or illnesses.

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