Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. <br />TEXAS WAIVER OF OUR RIGHT TOTEXAS WAIVER OF OUR RIGHT TO <br />RECOVER FROM OTHERS ENDORSEMENTRECOVER FROM OTHERS ENDORSEMENT <br />Policy Number:Endorsement Number: <br />Effective Date:09/Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address:HUITT ZOLLARS, INC. <br />1717 MCKINNEY AVE STE 1400 <br />DALLASTX75202 <br />Thisendorsementappliesonlytotheinsuranceprovidedrespecttobodilyinjuryarisingoutoftheoperations <br />bythepolicybecauseTexasisshowninItem3.A.ofthedescribedintheSchedulewhereyouarerequiredbya <br />Information Page.written contract to obtain this waiver from us. <br />WehavetherighttorecoverourpaymentsfromanyoneThisendorsementshallnotoperatedirectlyorindirectly <br />liableforaninjurycoveredbythispolicy.Wewillnotto benefit anyone not named in the Schedule. <br />enforceourrightagainstthepersonororganization <br />Thepremiumforthisendorsementisshowninthe <br />named in the Schedule,but this waiver applies only with <br />Schedule. <br />Schedule <br />1.()Special Waiver <br />Name of person or organization <br />(X)Blanket Waiver <br />Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. <br />2.Operations: <br />All Texas Operations <br />3.Premium: <br />The premium charge for this endorsement shall be2percent of the premium developed on payroll in <br />connection with work performed for the above person(s) or organization(s) arising out of the operations described. <br />4.Advance Premium: <br />Form WC 42 03 04 B Printed in U.S.A. <br /> <br />1:012033 <br />Policy Expiration Date: <br /> <br />