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Administrative Offices/Mailing Address: 82 Hop meadow Street Sims bury, Connecticut 06070-7683 Executive Risk Indemnity Inc. Home Office Wilmington, Delaware 19805-1297 APPLICATION FOR EMPLOYMENT
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FOR CERTAIN CLAIMS, THE FEDERAL AND STATE OF NEW YORK SHALL BE NOT TO BE HELD LIABLE FOR MONEY DAMAGES, INSUFFICIENT FUNDS OR SUCH OTHER LOSSES AS MAY BE REASONABLY CONSEQUENTIAL TO ANY CLAIM. ANY CLAIM WILL BE HEARD IN A COURT HAVING JURISDICTION IN WHICH THE CITIZENSHIP OF THE STATE OF NEW YORK IS PRESENT, AND NOT IN A JURY TRIAL OR OTHER COURT Inquiries OF NEW YORK. 1. In consideration of the disclosure provided hereunder, we hereby agree in writing to make all representations and warranties (including all representations, warranties and conditions of merchantability, fitness for a particular purpose, title and non-infringement) and to perform and perform faithfully all obligations and covenants herein provided, for a term of sixty (60) months from the time of this Application, from the commencement of this Agreement until the Effective Date (as stated above). 2. Upon expiration and termination of this Agreement, you hereby release us from all obligations under this Agreement and will only recover from us, as set forth herein, reasonable court costs and attorneys' fees. 3. If we fail to enforce a provision of this Agreement, that provision becomes null and void. 4. If the obligations of the parties hereunder should be deemed ineffective, the remaining provisions of this Agreement (the “Additional Terms”) will continue to be effective in place, as though the prior agreement had never been entered into. The Other Terms are subject to these Additional Terms. 5. Our obligations under this Agreement are conditioned upon the performance of the promises and duties required by the Additional Terms. We reserve the right to terminate this Agreement at any time. 6. This Agreement constitutes the entire agreement between the parties and supersedes all prior agreements. 7. To the maximum extent permitted by applicable law, this Agreement is between you and us in respect to the subject hereof, and supersedes any prior agreements and solicitations between you and us about the subject hereof. 8. You agree that it is your sole responsibility to keep your personal information confidential and not disclose, share or otherwise use the information you have contributed to us. 9.

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Application for employment practices is a document that employers are required to file with the appropriate government agency to report information about their employment practices.
All employers are required to file application for employment practices.
To fill out application for employment practices, employers must provide accurate and complete information about their employment practices as requested on the form.
The purpose of application for employment practices is to ensure that employers are following fair employment practices and to gather data for statistical analysis and reporting.
The specific information to be reported on application for employment practices may vary depending on the applicable laws and regulations, but generally includes details about employee demographics, recruitment, hiring, promotions, terminations, and other relevant employment practices.
The deadline to file application for employment practices in 2023 may vary depending on the jurisdiction and specific reporting requirements. Employers should consult the applicable laws and regulations or contact the appropriate government agency for the exact deadline.
The penalty for the late filing of application for employment practices may vary depending on the jurisdiction and specific laws and regulations. Employers who fail to file on time may be subject to fines, penalties, or other enforcement actions. It is important for employers to comply with the filing deadlines to avoid potential penalties.
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