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WO,RIKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed. 4-84) <br /> WAIVER OIL OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br /> our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br /> 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 /> ALL PERSONS A19D/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN <br /> CONTRACT OR AGREEMENT WITH. THE INSURED, EXECUTED PRIOR TO THE <br /> ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS <br /> POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION <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 04-01--25 Policy No.WC 6124596-04 Endorsement No. <br /> Insured THE KLEINFELDER GROUP, INC. Premium $ INCL. <br /> Insurance Company ZURICH AMER.IC.AN INSURANCE COMPANY <br /> Countersigned By <br /> WC 00 03 13 <br /> (Ed, 4-84) <br /> Q 1983 National Council on Compensation Insurance. <br />