Exhibit 10.24
ASSUMPTION AND NOVATION AGREEMENT
Among
LUMBERMENS
MUTUAL CASUALTY COMPANY,
AMERICAN MOTORIST INSURANCE COMPANY, AMERICAN PROTECTION
INSURANCE COMPANY AND AMERICAN MANUFACTURERS
MUTUAL
INSURANCE COMPANY
and
NATIONAL
UNION FIRE INSURANCE COMPANY
OF PITTSBURGH, PA
and
LABOR READY, INC.
TABLE OF CONTENTS
PREAMBLE |
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SCHEDULES |
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EXHIBITS |
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ASSUMPTION AND NOVATION AGREEMENT
This ASSUMPTION AND NOVATION AGREEMENT (this Agreement), effective and dated as of the 29th day of December 2004, is made and entered into by and among Lumbermens Mutual Casualty Company, American Motorist Insurance Company, American Protection Insurance Company and American Manufacturers Mutual Insurance Company, all corporations organized and existing under the laws of the State of Illinois, (collectively, with their insurance company affiliates, the Company), National Union Fire Insurance Company of Pittsburgh, Pennsylvania, a corporation organized and existing under the laws of the State of Pennsylvania, on behalf of itself and its affiliates (National Union), and Labor Ready, Inc., a corporation organized and existing under the laws of the State of Washington (Labor Ready), (Labor Ready, together with all policyholders, certificate holders, insureds and beneficiaries under the Policies (as defined below) of whatsoever kind or nature, including assignees of the rights of any of the foregoing under the Policies, collectively, the Insured) in accordance with the terms, conditions and definitions set forth below (the Company, National Union and Labor Ready each is individually referred to herein as a Party, or collectively, as the Parties).
R E C I T A L S:
WHEREAS, the Company issued various workers compensation and employers liability insurance policies affording coverage to Labor Ready, such policies are listed in Schedule 1 attached hereto (collectively, the Policies, including all declarations, amendments, and endorsements thereto, if any); and
WHEREAS, the Company desires to extinguish all of its duties, obligations, liabilities, rights, privileges and benefits arising from or related to the Policies and National Union desires to assume by way of novation all such duties, obligations, liabilities, rights, privileges and benefits of the Company; and
WHEREAS, and Labor Ready and the Company desire to extinguish all of their respective duties, obligations, liabilities, rights, privileges and benefits arising from or related to the Related Agreements (as defined herein) on the terms and conditions provided herein;
WHEREAS, no officer, director, or employee of LABOR READY is or at any time has been an officer, director, employee or attorney of, or person having influence over the Company; and
WHEREAS, LABOR READY has not attempted to, does not, and does not have the right or ability to control or manage the business or affairs of the Company; and
WHEREAS, the Parties have each received the advice of counsel in the preparation, drafting and execution of this Agreement, which was negotiated voluntarily and at arms length.
NOW, THEREFORE, in consideration of and in reliance upon the definitions, premises, recitals, Schedules and Exhibits (all of which are incorporated in full into this AGREEMENT), and the mutual promises, covenants and premises, recitals and agreements, subject to the terms
and conditions stated herein, and for other good and valuable consideration, the sufficiency and receipt of which are hereby acknowledged, and intending to be legally bound hereby, the Parties hereto agree as follows:
As used in this Agreement, the following terms in quotation marks, when capitalized, shall have the meanings set forth below (definitions are applicable to both the singular and the plural forms of each term defined in this Article):
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1.18 Reinsurance Trust Agreement shall mean that certain trust agreement between the Company, WAHI and Bank of Hawaii, formerly doing business as Pacific Century Trust effective January 1, 2001.
1.21 Trust Agreement shall mean that certain trust agreement between the Company, WAHI and Wells Fargo Bank Minnesota, N.A. effective December 18, 2002.
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(b) Labor Ready and National Union shall have executed that certain Indemnification Agreement (the Indemnification Agreement) dated as of the Effective Date;
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If to the Company: |
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Lumbermens
Mutual Casualty Company |
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If to National Union: |
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AIG Risk
Management |
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If to Insured: |
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Labor Ready,
Inc. |
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with a copy to: |
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Stephen
Schwab |
Changes in notice addresses or recipients may be made by the Company, National Union or Insured by following the procedure specified in this Section 11.2 rather than the procedure for amendment of this Agreement.
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[Signatures on Next Page]
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IN WITNESS WHEREOF, the parties have entered into this Agreement as of the Effective Date.
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LUMBERMENS
MUTUAL CASUALTY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR
READY, INC., on behalf of itself and |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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LIST OF POLICIES
Policy |
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Type |
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Effective Date |
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Issuing Company |
5BA130167 |
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WC AOS |
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01/01/01 |
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Lumbermens Mutual Casualty Company |
5BA130168 |
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WC WI |
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01/01/01 |
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Lumbermens Mutual Casualty Company |
5BA130172 |
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WC AZ |
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01/01/01 |
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Lumbermens Mutual Casualty Company |
5SC041161 |
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WC XS |
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01/01/01 |
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Lumbermens Mutual Casualty Company |
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5BH090111 |
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WC AOS |
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01/01/02 |
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American Manufacturers Insurance Company |
5BH090114 |
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WC WI |
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01/01/02 |
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American Manufacturers Insurance Company |
5BH090113 |
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WC AZ |
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01/01/02 |
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American Manufacturers Insurance Company |
5SH142102 |
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WC XS |
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01/01/02 |
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American Manufacturers Insurance Company |
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5BH090111-01 |
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WC AOS |
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01/01/03 |
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American Manufacturers Insurance Company |
5BH090114-01 |
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WC WI |
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01/01/03 |
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American Manufacturers Insurance Company |
5BH090113-01 |
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WC AZ |
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01/01/03 |
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American Manufacturers Insurance Company |
5BH091149 |
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WC CA |
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01/01/03 |
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American Manufacturers Insurance Company |
5SH142102-01 |
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WC XS |
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01/01/03 |
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American Manufacturers Insurance Company |
Schedule 1-1
NOVATION ENDORSEMENT
To
Policy Number 5BH 090 114
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 090 114, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
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LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BH 090 114-01
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 090 114-01, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
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LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BA 130 172
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BA 130 172, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
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LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BA 130 167
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BA 130 167, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
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LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BA 130 168
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BA 130 168, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
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LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5SC 041 161
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5SC 041 161, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
|
LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BH 090 113
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 090 113, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
|
LUMBERMENS MUTUAL CASUALTY COMPANY |
||||
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||||
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By: |
/s/ Gerald C. Pluard Jr. |
|
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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||||
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||||
|
|
NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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||
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|
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Name: |
Russell Johnston |
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|
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Title: |
Attorney In Fact |
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||||
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|
|
LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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||||
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By: |
/s/ Derrek Gafford |
|
||
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|
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Name: |
Derrek Gafford |
|
|
|
|
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Title: |
VP of Finance & Accounting |
|
|
A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BH 090 111
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 090 111, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
|
LUMBERMENS MUTUAL CASUALTY COMPANY |
||||||
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||||||
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||||||
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By: |
/s/ Gerald C. Pluard Jr. |
|
||||
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Name: |
Gerald C. Pluard Jr. |
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|
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Title: |
Associate General Counsel |
|
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||||||
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|
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||||||
|
|
NATIONAL
UNION FIRE INSURANCE COMPANY |
||||||
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||||||
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||||||
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By: |
/s/ Russell Johnston |
|
||||
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|
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Name: |
Russell Johnston |
|
|||
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|
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Title: |
Attorney In Fact |
|
|||
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|
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||||||
|
|
|
||||||
|
|
LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
||||||
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||||||
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||||||
|
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By: |
/s/ Derrek Gafford |
|
||||
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|
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Name: |
Derrek Gafford |
|
|||
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|
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Title: |
VP of Finance & Accounting |
|
|||
A-3
NOVATION
ENDORSEMENT
To
Policy Number 5SH 142 102
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5SH 142 102, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
|
LUMBERMENS MUTUAL CASUALTY COMPANY |
|||||
|
|
|
|||||
|
|
|
|||||
|
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By: |
/s/ Gerald C. Pluard Jr. |
|
|||
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|
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Name: |
Gerald C. Pluard Jr. |
|
||
|
|
|
Title: |
Associate General Counsel |
|
||
|
|
|
|||||
|
|
|
|||||
|
|
NATIONAL
UNION FIRE INSURANCE COMPANY |
|||||
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|
|
|||||
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|
|
|||||
|
|
By: |
/s/ Russell Johnston |
|
|||
|
|
|
Name: |
Russell Johnston |
|
||
|
|
|
Title: |
Attorney In Fact |
|
||
|
|
|
|||||
|
|
|
|||||
|
|
LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
|||||
|
|
|
|||||
|
|
|
|||||
|
|
By: |
/s/ Derrek Gafford |
|
|||
|
|
|
Name: |
Derrek Gafford |
|
||
|
|
|
Title: |
VP of Finance & Accounting |
|
||
A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BH 090 113-01
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 090 113-01, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
|
LUMBERMENS MUTUAL CASUALTY COMPANY |
||||||
|
|
|
||||||
|
|
|
||||||
|
|
By: |
/s/ Gerald C. Pluard Jr. |
|
||||
|
|
|
Name: |
Gerald C. Pluard Jr. |
|
|||
|
|
|
Title: |
Associate General Counsel |
|
|||
|
|
|
||||||
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BH 090 111-01
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 090 111-01, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
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LUMBERMENS MUTUAL CASUALTY COMPANY |
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By: |
/s/ Gerald C. Pluard Jr. |
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Name: |
Gerald C. Pluard Jr. |
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Title: |
Associate General Counsel |
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NATIONAL
UNION FIRE INSURANCE COMPANY |
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By: |
/s/ Russell Johnston |
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Name: |
Russell Johnston |
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Title: |
Attorney In Fact |
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LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
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||||||
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By: |
/s/ Derrek Gafford |
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Name: |
Derrek Gafford |
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Title: |
VP of Finance & Accounting |
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A-3
NOVATION
ENDORSEMENT
To
Policy Number 5SH 142 102-01
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5SH 142 102-01, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
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LUMBERMENS MUTUAL CASUALTY COMPANY |
||||||
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|
|
||||||
|
|
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||||||
|
|
By: |
/s/ Gerald C. Pluard Jr. |
|
||||
|
|
|
Name: |
Gerald C. Pluard Jr. |
|
|||
|
|
|
Title: |
Associate General Counsel |
|
|||
|
|
|
||||||
|
|
|
||||||
|
|
NATIONAL
UNION FIRE INSURANCE COMPANY |
||||||
|
|
|
||||||
|
|
|
||||||
|
|
By: |
/s/ Russell Johnston |
|
||||
|
|
|
Name: |
Russell Johnston |
|
|||
|
|
|
Title: |
Attorney In Fact |
|
|||
|
|
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||||||
|
|
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||||||
|
|
LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
||||||
|
|
|
||||||
|
|
|
||||||
|
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By: |
/s/ Derrek Gafford |
|
|
|||
|
|
|
Name: |
Derrek Gafford |
|
|
||
|
|
|
Title: |
VP of Finance & Accounting |
|
|
||
A-3
NOVATION
ENDORSEMENT
To
Policy Number 5BH 091 149
Issued To
LABOR READY, INC.
This Novation Endorsement (the Endorsement) is made and entered into by and among LUMBERMENS MUTUAL CASUALTY COMPANY (the Company), National Union Fire Insurance Company of Pittsburgh, PA (National Union), on behalf of itself and its affiliates, and LABOR READY, INC. (Labor Ready) , on behalf of itself and its affiliates, including all insureds, named insureds, additional insureds, certificate holders and beneficiaries under the Policy as defined below (the Insured) as of the 29th day of December, 2004.
WHEREAS, the Company issued to or assumed with respect to the Insured a [Workers Compensation and Employers Liability] policy, Policy Number 5BH 091 149, including all amendments and endorsements thereto, if any, (the Policy); and
WHEREAS, the Company, National Union and the Insured, at the request of the Insured, have entered into that certain Assumption and Novation Agreement dated as of December 29, 2004 (the Assumption and Novation Agreement) pursuant to which the Policy will be novated and assumed by National Union; and
WHEREAS, the parties hereto all wish to substitute National Union for the Company as the issuer and insurer of the Policy;
NOW, THEREFORE, in consideration of the covenants and agreements contained herein, the Company, National Union and the Insured agree as follows:
1. As of the Effective Date (as defined below), subject to the terms of the Assumption and Novation Agreement, National Union shall assume all of the liabilities and obligations of the Company under the Policy and shall be substituted for the Company, in the Companys name, place and stead, as the insurer thereon so as to effect a novation of the Policy and release the Company from any and all liabilities or obligations thereunder.
2. With respect to the Insured, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement:
(a) The Insured agrees to accept the transfer of its Policy from the Company to National Union and fully and finally releases the Company from any and all liabilities and obligations under the Policy;
(b) All terms and conditions of the transferred Policy remain unchanged, except that National Union is the Insureds insurer under the Policy;
(c) All premium payments, policy charges, notices, claims and suits or actions on the Policy shall in the future be made directly to National Union as though it had
A-1
issued the Policy originally, and all correspondence and inquiries should be submitted to National Union at the following address and telephone number:
National Union Fire Insurance Company of Pittsburgh, PA
175 Water Street
New York, NY 10038
Attention: AIG Risk Management, Buyout Division
Telephone: 212 770-7000
3. With respect to National Union, such novation means that, as of the Effective Date, subject to the Assumption and Novation Agreement, National Union shall assume all obligations and rights of the Company arising from or related to the Policy and shall be entitled to enforce all such rights in the name, place and stead of the Company.
4. This Endorsement shall be effective as of December 29, 2004 (the Effective Date).
5. This Endorsement incorporates herein the Assumption and Novation Agreement (including all schedules and exhibits thereto).
6. This Endorsement shall form a part of the Policy.
7. The signatories to this Endorsement represent and warrant, each to the other, that the signatory: (a) has read and understands this Endorsement; (b) has full authority to bind the party to this Endorsement presented by the signatory and that such party has full authority to enter into this Endorsement and be bound by the terms and conditions of this Endorsement; and (c) sets the signatorys hand hereunto with the intention of legally binding the party to this Endorsement represented by the signatory.
A-2
IN WITNESS WHEREOF, the parties have entered into this Endorsement as of the day and year contained in the first paragraph of this document.
|
|
LUMBERMENS MUTUAL CASUALTY COMPANY |
|||||
|
|
|
|||||
|
|
|
|||||
|
|
By: |
/s/ Gerald C. Pluard Jr. |
|
|||
|
|
|
Name: |
Gerald C. Pluard Jr. |
|
||
|
|
|
Title: |
Associate General Counsel |
|
||
|
|
|
|||||
|
|
|
|||||
|
|
NATIONAL
UNION FIRE INSURANCE COMPANY |
|||||
|
|
|
|||||
|
|
|
|||||
|
|
By: |
/s/ Russell Johnston |
|
|||
|
|
|
Name: |
Russell Johnston |
|
||
|
|
|
Title: |
Attorney In Fact |
|
||
|
|
|
|||||
|
|
|
|||||
|
|
LABOR READY, INC., on behalf of itself and all insureds, named insureds and additional insureds under the Policy |
|||||
|
|
|
|||||
|
|
|
|||||
|
|
By: |
/s/ Derrek Gafford |
|
|||
|
|
|
Name: |
Derrek Gafford |
|
||
|
|
|
Title: |
VP of Finance & Accounting |
|
||
A-3