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Lynn Shatz 12/3/2019
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6 Years Then Destroy
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Lynn Shatz 12/3/2019
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Entry Properties
Last modified
12/10/2019 11:31:07 AM
Creation date
12/10/2019 11:29:44 AM
Metadata
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Contracts
Contractor's Name
Lynn Shatz
Approval Date
12/3/2019
End Date
12/31/2020
Department
Senior Center
Department Project Manager
Bob Dvorak
Subject / Project Title
Dental Hygiene Services
Tracking Number
0002100
Total Compensation
$4,500.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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%.', Liberty <br /> international <br /> Underwriters. <br /> Healthcare Professional Liability <br /> LIBERTY INSURANCE UNDERWRITERS INC. <br /> (A Stock Insurance Company,hereinafter the"Company") <br /> ENDORSEMENT NO. I ] <br /> Effective Date: 07/01/2019 <br /> Policy Number: AHY-630201008 <br /> Issued To: Lynn D Shatz <br /> Return Premium 0 $ <br /> Additional Premium 0 <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> This endorsement modifies insurance provided under the following: <br /> MEDICAL PROFESSIONAL LIABILITY OCCURRENCE INSURANCE POLICY <br /> MEDICAL PROFESSIONAL LIABILITY OCCURRENCE INSURANCE POLICY—INDIVIDUAL <br /> SEXUAL MISCONDUCT ENDORSEMENT <br /> SEXUAL MISCONDUCT AGGREGATE SUBLIMIT OF LIABILITY: <br /> $25,000 <br /> In consideration of the premium charged,the following changes are made to the policy: <br /> I. Solely with respect to coverage provided under this endorsement, SECTION I, COVERAGES, <br /> COVERAGE A, PROFESSIONAL LIABILITY COVERAGE is amended to include the <br /> following: <br /> With respect to Incidents alleging Sexual Misconduct on behalf of the Insured,the Company <br /> will pay Covered Sexual Misconduct Damages because of Bodily Injury or Personal and <br /> Advertising Injury to which this insurance applies, subject to the Sexual Misconduct <br /> Aggregate Sublimit of Liability stated above. Such Sexual Misconduct must actually or <br /> allegedly occur: <br /> 1. in the operation of the business or conduct of the profession of the Named Insured as <br /> specified in the Declarations;and <br /> 2. during the Policy Period. <br /> 1 3 <br /> HCPL-8324(01/15) <br />
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