ICHD-WOS-CP-1025814-3.pdf

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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 CopperPoint Casualty Insurance Company, specifically the Alaska National division. The endorsement is for Intermountain Centers for Human Development and is effective from 01/01/2025, with a policy number WC1025814 and an endorsement premium of $3,777.00.

The endorsement specifically addresses a Waiver of Right to Recover from Others, which modifies the insurance policy's standard recovery provisions. It allows the insurance company to waive its right to seek recovery of payments from parties liable for a work-related injury, but only under specific contractual conditions. The waiver applies to entities named in a separate Schedule and is subject to the terms of the endorsement, effectively limiting the insurance company's subrogation rights in certain work contract scenarios.

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