HomeMy WebLinkAboutCORRESPONDENCE - GENERAL CORRESPONDENCE - INSURANCEP42NNi2WV2
PiNN/ICOL
ASSURANCE
NCCI #. WC000313B
Policy #: 4059538
PDI, LLC IMA, Inc
P 0 Box 17886 1705 17th Street
Denver, CO 80217 Suite 100
Denver, CO 80202
(303)534-4567
ENDORSEMENT: Blanket Waiver of Subrogation
7501 E. Lowry Blvd.
Denver, CO 80230-7006
303.361.40001800.873.7242
Pinnacol.com
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE
To any person or organization when agreed to under a written contract or agreement, as defined above
and with the insured, which is in effect and executed prior to any loss.
Effective Date: January 1, 2019 Expires on: January 1, 2020
Pinnacol Assurance has issued this endorsement August 5, 2019
7501 E. Lowry Blvd Denver, CO 80230-7006
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