Loading...
HomeMy WebLinkAboutES05-336 - Other - Standard Insurance Company - Volunary Life Insurance Policy Endorsement - 09/05/2009 9 Records Mang emen KENT Document W ASMINGTON s �,e' CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. Vendor Name: --�AN L ujgq-IU Vendor Number: ID Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: ��p C ,Lk-s—, r QY LLf--r. U-R!�)Ct; Description: ❑ Interlocal Agreement ❑GChange Order ❑ Amendment ❑ Contract Wther: �0LI eY i /ZS t�'YL�ILTT Contract Effective Date: bey Termination Date: INL 112� _ Contract Renewal Notice (Days): N1 n Number of days required notice for termination or renewal or amendment Contract Manager ( 1- w-yL Department: F� wy�--rc Detail: (i.e. address, location, parcel number, tax id, etc.): 5 Pub lic\Records Ma nagement\Fo rms\ContractCover\adcc783 2 1 11/08 GROUP INSURANCE POLICY ENDORSEMENT Attached to and made a part of Group Policy Issued to City of Kent as Policyholder under Group Policy 339619-D Effective September 5, 2009, the following endorsement is attached to and made a part of the group insurance policy referenced above The Allocation Of Authority provision has been removed in its entirety. STANDARD INSURANCE COMPANY By President CcArpuratr Serretar� 339619-D,City of Kent,LT