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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 43 03 05 <br />UTAH WAIVER OF SUBROGATION ENDORSEMENT <br />This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the <br />Information Page. <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to the <br />extent that 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. Our waiver of <br />rights does not release your employees' rights against third parties and does not release our authority as trustee <br />of claims against third parties. <br />SCHEDULE <br />Any Person or Organization as required by written contract or agreement that is <br />executed prior to the 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 10/01/2024 Policy No.LOC4058970 Endorsement No. <br />Insured TETRA TECH, INC. Premium $ Included <br />Insurance Company Safety National Casualty Corporation <br />Countersigned By <br />WC 43 03 05 (07 00) <br />© 2000 National Council on Compensation Insurance, Inc. <br />Page 1 of 1 <br />