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TRAVELERS WORKERS COMPENSATION <br />AND <br />EMPLOYERS LIABILITY POLICY <br />ENDORSEMENT WC 00 03 13 (00)_ <br />POUCYNUMBER: (TC20UB-8049x50-8-18) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to the <br />extent that you perform work under written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule, <br />SCHEDULE <br />DESIGNATED PERSON: <br />DESIGNATED ORGANIZATION: <br />ANY PERSON OR ORGANIZATION FOR WHOM A WAIVER OF <br />SUBROGATION IS REQUIRED BY CONTRACT OR, AGREEMENT OR <br />:PERMIT, BUT COVERAGE IS :LIMITED TO THE SCOPE OF THE <br />WORK PERFORMED BY THE INSURED UNDER SUCH CONTRACT., <br />AGREEMENT OR PERMIT. <br />DATE OF ISSUE: 'Os-07-18 S G . <br />� � P,� _ <br />