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INSURED: All City Management Services,Inc. <br /> POLICY#: WCC33441OA POLICY PERIOD: 01/01/2025 TO 01/01/2026 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed.4-84) <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 enforce <br /> our right against the person or organization named in the Schedule. ('Phis agreement applies only to the extent that <br /> you perform work under a written contract that requires you to obtain this agreement from us.) <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule <br /> ANY PERSON (S) OR ORGANIZATION (S) WITH WHOM YOU HAVE AGREED <br /> TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN <br /> AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO A LOSS . <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective Policy No. Endorsement No. <br /> Insured Premium$ <br /> Countersigned By <br />