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Fort Walton Beach Council agenda — 09-14-2010 Special-City Attorney Condidates — reading text
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Icyy in any state not ielod In Nam 3A of she In-
d wn for 'body injury by disease -- each ow
formatlorh Pages coverage will not be oft cod for
ployae' is the roost we will pay for all deniages
because of bodily kft by domes to any one VW state unless We are noliisd wMn Oft
days.
armployes.
injunyy by dieeae does not include cis- B. Notice
ease thst remb dkedyy &am a bodily Injury by Tel um at once Nyou begin work in any state salad in
accident.
kem 3.C. of the lydornhatton Page.
3. We will not pay any dairens for damages WW we
hsve paid the amble inlet of our ial filly un- PART FOUR
der this insurance.
YOUR DUTIES IF RUURY OCCURS
H. Rewvrey From Others Tell us at once If try amm that may be covered
Wb haves your dghts to recover our payment from by Iuis policy. Your other dutla are NOW here.
anyone liable for an injwyaowmd by lids ineumm. 1. Provide for irmadiste medical and odwr sw-
You will do amyUnirhg necessary to protect Om me vkss required by the workers cor>Mensetlorh law.
rights for us and to help a enforoe Ilea.
2. On us orou r agent the names and addresses
I. AdWm Against Us of l he injueed parsons anal of witnsaa, and
There Wye be no right of scion agaUhet us under this other kcfonehatbn We may need.
kwKwarhos otI I iesx 3. Prone tly give us all notices, denonds and legal
1. You hen complied with dl the terms of this poi-
W9 and
4 of 0
01ahe N. daw cor oln on f nsrMn in u oQ.
VYORKERB COMPENSATION AND EMPLOYERS LIABi 17Y INSURANCE POLICY WC 00 00 00 A
1st Reprint SbcOve April Is 1882
Papers related to the i", cairn. Proceeding or D. PmMum Payments
suit.
You will pay ail prsmkm when curs. You will pay the
4. Cooperate wsh us and assist us, as we may rw premium awn 9 pert or all of workers compenea-
quest in the Mwailgatiah, sedleawt or dame dw IoM is not weld.
of any dakn, Ong or suit.
S. E. Final Prefrhiurn
Do nothing slier an ktjwl oocurs Vw would hi-
bows wllh our to rsoowrfrorrh others. The premium slhown on the Irhiorrnotion Page,
8.
schedules, and endorasinsnts is en eelkn alai The
Do not voluntarily make paymerts, assume ok&
Anal premium,YA be determined after this pft
gallons or kear exp uwn, exospt at your own
0081.
ends by using the actual, not the adimated, pre -
mium bask and the proper dsailk;atlona and rates
PART FIVE— PREMIWN that tewtulty apply to the business and work covered
by Ihis poor. K Ire Anal pmWu m is colors Inert the
A. Our Manuals
premium you paid to us, you roust pay to the bal-
ance. Kit Is less„ we will ratund th balance to you.
Ail Pnrrluun for this poilcyvA be dstenrhkted by our
manuais of rules, +rotes, rating places and cludke. The Anal prwWum will rat be tees than the highest
dons. Wb may change our merwals and apply on
mkhirr premium for rte dessiAcaions oovww by
clmnges to this policy IF suthorbW by law or a pro this poilcy.
ornmentel agency repulathg Ids iroxe Ice. If this policy is canceled, Areal premium, vA be de-
L ClapiAfretlorhe tarrrhhud to the fdowi ng way unless our manuals
agumim
Item 4 of the Wormadon Page dwn the rate and
I. If we carhoel, final premium will be calculated pro
prerrdurn basis for oertshh businese or work dagiA-
catiorhs. These dassNlcaYorhs were assigned based rata based on ft cans Its policy roes in brae.
Final prarduum will not be less than the pro rate
on an estlntate of the swom you would have
share of the m inimum pWr iurn.
dwft On Policy Period. It your aatuel exposures are
2. If you cancel, anal pre cum roil be more then
not properly deaaibed by Own ciaselAcations, we
Will assign proper Bassi, rates and premium pro rata; It wR be based on the I= this popsy
basis by endoraerhhent to this policy. was in faros, and incrosssd by our short-rate
canceledorh table and pwoedum Pint premium
C. Ramunws an will not be less I= the nftlm m pre alum.
Premium for each work won is determined
by muilloying a rata times a premium bests. Remu- F. Rea ds
neradort is the most common pmol un bests. This You will keep records of keformattorh needed to com-
premium bads Includes payroll and all othor remhu- pula prwnhxL You will provide us wNh coples of
nereft paid or psyabte durkhg In Policy period for those records when we ask for teem.
tee services of.
1. aq your oars and employees engaged in work G. Audit
covered by ihw popsy; and You will let us a wnins and auk all your records
2. oil olrer pera m engaged in work vW could
Itat rate to thin popsy. These records kndude ledg.
make us liable under Part One (Workers Com- GM jouuneis, aglele v, vouclhers, eonirocts, tars re.
petmdorh lnwranoe) of Ids policy. ifyou do not Poft Pavi and atsbhuaemerht records, and pro.
hove payroll moorda for the pe sorhs, the = I. OW f* lgft date. We may coro.
tract price for their services, and nuteriale may the ahf
curd -- regular business hours during
be wed as the premkrrn basis. This paragraph 2
the policy period and whin Irse years elterthe p&
will not apply It you On us,proof that the on.
Pam of these
ICY PWW ands. Infom allon developed by audit will
lewhilly secured # v* be used to detennhine final premium. letwranos rats
workers comp on obligations.
SWAN orgarkella hs have the same righls ws hove
under va provision.
Sofa
elm w*= wwft baffaw,
a ©
WC OO W OO A COMPENISATION AND EMPLOYERS LIABILITY INBURANCE POLICY
Standard F. a Apr# 1, 1982 let Reprint
S you the a ncl we receive rtodca wMb ihhiy do" a&
PART SChC01 R10 i8 tar your death, we will cover your lapel noprsaenta-
tive as instated.
A. Irapectlon
We have do riptd, but are not cb1pad to Inspect D. CsnoaaOlon
your a Wiplacss at any time. Our irwpscYons are not 1. You may cancel this pot6v11. You must true or de-
safety 1 1M reNte only to Ut0 inwrrebp- pver adverhoe written fiaspe b us drip when
Ky ofthe wwhplecss and Via premiums to be the carnceiedorh N to take egad.
charged. We may gin you reports on the corulft s 2. We may cancel Of poky. Wye mwt map or de-
we find. We may dw reoori stand changes. While liver to you not lean dten ten days sdvancs wk-
they may help reduoa lossm we do not a nderMM ton nodce soft when fife cwwelaibn is to We
to pw bviv the duly of any pemw to Flovide for Me ek MW" that nollos b you at your meftV
lteoil i or aabty of pur employees or ate pubk. We address slwm in bane 1 of to InIbmudon Pape
do not warrant that your wortcpleon are sets or wM be a, ht to prove notice.
lteaitdirl or that they comply wilt k w% repuladorts, 3. The poppy period will end on dte day and how
codes or standreds. Insurance no service orgmdzs-
stated In In celedon nodoe.
dons here tlt0 Sam we havoc under ft provi.
SIM
4. Any of diew provisiorhs 80 conft with a law
a. OW conbvis the cartceladorh of dm humane In
Lang Tarn Popsy
If the policy period is lonpsr dtan one year and sip thin popsy is dWuqpd by tda ddw nest to com-
teen days, d provkbm of this poky will apply as ply with the law.
though a new popg wwo issued on each sansei
E. Sole Re ledve
wNdversary that this policy Is In fbm.
