PRODUCER
INSURED
NonProfits United
15105
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 1/1/2025
The Open Door Network
DBA Bakersfield Homeless Center
1921 19th Street
Bakersfield, CA93301
NPU-WCG 001-2025 1/1/2025 1/1/2026
1/1/20261/1/2025
Waiver of Subrogation in favor of City of Bakersfield Office of Risk Management.
City of Bakersfield Office of Risk Management
1600 Truxtun Ave
Bakersfield, CA 93309
SP4067530
NonProfits' United Workers' Compensation Group
610 Fulton Avenue, Suite 200
Sacramento, CA 95825
BAKERHC-7639
Y
Bree Wallace
[email protected]
NPU-WCG 001-2025
SP4067530
City of Bakersfield Office of Risk Management
1600 Truxtun Ave
Bakersfield, CA 93309
Waiver of Subrogation in favor of City of Bakersfield Office of Risk Management. 1/1/2025
1/1/2025
1/1/2026
1/1/2026
Safety National Casualty Corporation
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Authorized Representative for NPU-WCG
Jan 1, 2025
The Open Door Network
January 1, 2025 January 1, 2026
City of Bakersfield Office of Risk Management
1600 Truxtun Ave
Bakersfield, CA 93309
DESCRIPTION OF OPERATIONS/LOCATIONS ADDED BY ENDORSEMENT:
City of Bakersfield Office of Risk Management
THIS ENDORSEMENT CHANGES THE MEMORANDUM OF COVERAGE
PLEASE READ IT CAREFULLY
WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US
NonProfits' United Workers' Compensation Group
Memorandum of Coverage: NPU-WCG 001-2025
This endorsement modifies the coverage provided under the following:
Momorandum of Coverage: PART ONE: WORKERS' COMPENSATION COVERAGE Paragraph H. RECOVERY FROM OTHERS is amended with respect to the following: Name and Address of Person or Organization:
NPU-WCG waives any right of recovery it may have against the person or organization shown above because of payments made by NPU -WCG for injury or damage arising out of the Members’ operations done under a contract with that person or organization shown above and included in the coverage provided by the Memorandum of Coverage. This waiver applies only to the person or organization shown on the Schedule Above.
This endorsement is part of the Memorandum of Coverage and is effective on the date shown below.
All other terms and conditions remain unchanged.
Effective Date
Member
Endorsement No:
Expiration Date:
Date Issued:
NPU-WCG MOC:
NPUWCG-BAKERHC-
: