Laserfiche WebLink
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement change-: =ha poi cy to which it is attached effective on the inception dote of the policy unless a different dote is <br />indicated below. <br />(The fthw-ig'attorning chute" need te covoetec my ^hen tn: endni terne nt c h^jee nub regnant to {neperotnn of the pcrcy). <br />This, endorsement, effective 12:01 AM 06/30/2025farms a part of Policy Na. WC 970-87-427 <br />fasuedtoJ. HARRIS INDUSTRIAL WATER TREATMENT, INC. DBA <br />By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. <br />We have a right to iecover our payments from anyone Bette for an injury cove ec by this policy. We will not enforce our right against <br />any person or organization with whom you have a written contract that requires you to obtain Chis agreement from us. as regards <br />any work you perform for such parson or organization. <br />The additional premium for this endorsement shall be 2.00 <br />% of the total estimated workers compensation premium <br />far 1his policy. <br />WC M 03 61 <br />Countersigned by <br />(Ed. 11/90) <br /> <br />