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!NA, Workers Compensation And Employers Liability Insurance <br /> Policy Endorsement <br /> WAIVER OF OUR ! RECOVER FROMOTHERS ENDORSEMENT <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. <br /> Schedule <br /> The premium charge for the endorsement is reflected in the Schedule of Operations. <br /> All other terms and conditions of the policy remain unchanged. <br /> This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, <br /> takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective <br /> date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another <br /> expiration date is shown below. <br /> Form No: WC 00 03 13 (04.1984) policy No: WC 8038020120 <br /> Endorsement Effective bate: Endorsement Expiration Date: Policy Effective Date: 04/01/2026 <br /> Page: 1 of 1 Policy Page: 1 of 1 <br /> Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, <br /> Chicago, EL 60606 <br /> Copy right 1983 Nationa L LOUnn L on Lompensation Insurance. <br />