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GFW A FLORIDA WORKERS COMPENSATION <br /> JOINT UNDERWRITHC ASSOCIATION. INC. WORKERS COMPENSATION <br /> AND <br /> EMPLOYERS LIABILITY POLICY <br /> ENDORSEMENT WC 00 00 01 (A ) <br /> POLICY NUMBER : ( 6FR1 3UB - 421 1 B59 - 0 - 05 ) <br /> LISTING OF ENDORSEMENTS <br /> EXTENSION OF INFO PAGE <br /> We agree that the following listed endorsements form a part of this policy on its effective date . <br /> WC 00 00 01 A - 001 INFORMATION PAGE <br /> WC 00 00 01 A - 001 INFORMATION PAGE 2 <br /> WC 00 00 01 A - 001 EXTENSION OF INFORMATION PAGE - SCHEDULE <br /> WC 00 00 01 A - 001 ENDORSEMENT LISTING <br /> FW CO UA 03 01 - 001 FL JUA LIMITED OTHER STATES ENDT , <br /> WC 00 04 14 00 - 001 NOTIFICATION OF CHANGE IN OWNERSHIP ENDT <br /> WC 00 01 12 00 - 001 NOTICE OF PENDING LAW CHANGE TO TRIA <br /> WC 00 04 20 00 - 001 TERRORISM RISK INS ACT ENDT <br /> WC 09 06 06 001 - 001 FL EMPLOYMENT AND WAGE INFORMATION REL . <br /> m� <br /> a� <br /> o <br /> o� <br /> a� <br /> o <br /> o� <br /> uj� <br /> DATE OF ISSUE : 06 - 10 - 05 ST ASSIGN : FL Page 1 of LAST <br /> 009381 <br />