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HomeMy WebLinkAboutC87-025 Hartford hold harmless and release of liabilityHOLD HARMLESS AND RELEASE OF LIABILITY TO: THE HARTFORD GROUP Re: POLICYHOLDER: Eagle County POLICY NUMBER: 34SR580252 POLICY PERIOD: -1/1/87-1/l/88 Washington Regional Office 100 North Pitt Street — P.O. Box 1414 Alexandria, Virginia 22313 Telephone: (703) 836-0222 - R87_25_35 The undersigned officials of the above captioned Policyholder, hereby request that The Hartford Insurance Company pay all benefits arising out of the claims of the above captioned policy for the above -captioned policy period directly to the above named Policyholder. The undersigned officials hereby state that they have assumed financial responsibility for any bills and expense.to the limit of liability to which benefits have become payable under the above captioned policy. Payment directly to the named Policyholder discharges The Hartford Insurance Company of all liability under the above captioned policy to the extent of the payments made. Should any dispute arise over the payment of said claims to the Policyholder, such organization will bear the financial responsibility of any duplicate payment or request for payment which may arise. In the event of any legal action brought against The Hartford Insurance Company in regard to any payments made pursuant to this agreement, the above named Policyholder agrees to bear all cpet--ip regard to that action. This agre,dment mum be SIGNED SIGNED: G7w, WITNESS: gned by no less than two members of said Policyholder i DA Hartford Fire Insurance Company and Its Affiliates Hartford Plaza, Hartford, Connecticut 06115