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CNA Workers Compensation And Employers Liability Insurance <br /> Policy Endorsement <br /> WAIVER OF 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 <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 /> Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover <br /> from under a written contract or agreement. <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 <br /> effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy <br /> unless another expiration date is shown below. <br /> Form No: WC 00 03 13 f04-1984) Policy No:WC 7 948281 14 <br /> Endorsement Effective Date: 11/04/2025 Endorsement Expiration Date: Policy Effective Date: 10/15/2025 <br /> Endorsement No: 52; Page: 1 of 1 <br /> Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St, Chicago, IL <br /> 60606 <br /> Copyright 1983 National Council on Compensation Insurance. <br />