New_Freedom_WOS_WC.pdf
PDF 140 KB Posted
- Attached to
- Master Agreement AZ|CTR066000
- Contract number
- CTR066000
- Issued by
- Arizona
About this file
This document is a Workers Compensation and Employers Liability Insurance Policy Waiver of Right to Recover from Others Endorsement issued by CopperPoint Indemnity Insurance Company, specifically for CopperPoint's Alaska National division. The policy is associated with New Freedom LLC as the insured and names the State of Arizona as the primary entity in the Schedule, covering the state and its various departments, agencies, boards, commissions, universities, offices, officials, agents, and employees.
The endorsement is effective from 09/12/2025, with a policy number WC1028190 and an endorsement premium of $200.00. The document outlines a waiver that allows the insurance company to waive its right to recover payments from parties liable for work-related injuries, specifically when the insured performs work under a written contract requiring this agreement. The scope appears to protect the State of Arizona and its associated entities from potential recovery actions arising from work performed by the contractor, with the insurance coverage extending to employees' losses stemming from such work.
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