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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> WAIVER OF OUR RIGHT TO RECOVER <br /> FROM OTHERS ENDORSEMENT <br /> Policy Number: 57 WEC AN1 MI-1 Endorsement Number: 003 <br /> Effective Date: 04/16/25 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: WE ARE GROUNDSWELL <br /> 1801 E EDINGER AVE STE 115 <br /> SANTA ANA CA 92705 <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br /> right against the person or organization named in the Schedule. <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> SCHEDULE <br /> Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. <br /> Endorsement is not applicable in KY, NH, NJ or for any MO construction risk <br /> Countersigned by <br /> Authorized Representative <br /> Form WC 00 03 13 Printed in U.S.A. <br /> Process Date: 04/16/25 Policy Expiration Date: 10/01/25 <br />