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WORKER'S COMPENSATION/EMPLOYERS LIABILITY ENDORSEMENT <br /> ("The City") <br /> ATTN <br /> A) POLICY INFORMATION Endorsement# <br /> 1 Insurance company ("the Company") <br /> 2 Effective date of This Endorsement <br /> 3 Named Insured <br /> 4 Employer's Liability Limit (Coverage B) <br /> B} POLICY AMENDMENTS <br /> In consideration of the policy premium and not withstanding any inconsistent <br /> statement in the policy to which this endorsement is attached or any other <br /> endorsement attached thereto, it is agreed as follows <br /> 1 Cancellation Notice The insurance afforded by this policy shall not be <br /> suspended, voided, canceled, reduced in coverage or in limits except after <br /> thirty (30) days prior written notice by certified mail return receipt requested <br /> has been given to the City Such notice shall be addressed as shown in the <br /> heading of this endorsement <br /> 2 Waiver of Subrogation The Insurance Company agrees to waive all rights of <br /> subrogation against the City, its elected or appointed officers, officials, <br /> agents, and employees for losses paid under the terms of this policy which <br /> arise from work performed by the Named Insured for the City <br /> C) SIGNATURE OF INSURER OR AUTHORIZED REPRESENTATIVE OF THE <br /> INSURER <br /> 1 (print/type name), warrant that I have authority <br /> to bind the below listed insurance company and by my signature person do <br /> so bind this company <br /> ' August 2001 Division IV-35 Ball Park& Park& Ride Wells Ph 1 <br />