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INSURED: Illumination Health+ Home <br /> POLICY#: WC251476 POLICY PERIOD: 01/01/2026 TO 07/01/2026 <br /> BETA Risk Management Authority ("BETARMA") <br /> A Public Entity <br /> AMENDMENT <br /> BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br /> This amendment changes the contract to which it is attached effective on inception date of the Coverage <br /> Contract. <br /> BETARIvmA has the right to recover payments it makes from anyone liable for an injury covered by this <br /> Coverage Contract. BETARMA will not enforce its right against the person or organization named in the <br /> Schedule. This amendment applies only to the extent work performed under a written contract requires the <br /> Member to obtain this agreement from BETARIvmA. <br /> This endorsement does not apply to benefits or damages paid or claimed because of injury occurring before the <br /> Member entered into such a contract. <br /> This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. <br /> Schedule <br /> Any person or organization with whom the Member entered into a contract, a condition of which requires the <br /> Member to obtain this waiver from BETARIvmA. <br /> ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. <br /> WC EL W106(07/19) Page 8 Date Issued:July 01,2022(Initial) <br />