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Attachment Code: D524752 Certificate ID: 15553615 <br />WORKERS COMPENSATION AND <br />EMPLOYERS LIABILITY POLICY <br />ENDORSEMENT WC 00 03 13 (00) <br />POLICY NUMBER: UB-31`635310 (AOS); UB-3P533004 (MA, WI) <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 <br />this policy. We will not enforce our right against the person or organization named in the <br />Schedule. (This agreement applies only to the extent that you perform work under a <br />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 <br />the Schedule. <br />SCHEDULE <br />DESIGNATED PERSON OR ORGANIZATION: <br />WHERE REQUIRED BY WRITTEN CONTRACT <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />