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,r <br /> WORKERS CONPE MSATION AND EMPLOYERS LIAENUTY INSURANCE POUCY WC 00 0313 <br /> (Ed.4-84) <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS EMDOR5EMENT <br /> We have the right to reoover our payments from anyone liable for an injury covered by this policy. We wilt 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 /> ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS <br /> OPERATING UNDER A WRITTEN "INSURED CONTRACT" WHEN SUCH <br /> CONTRACT REQUIRES A WAIVER OF SUBROGATION. <br /> i <br /> i <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise <br /> stated. <br /> {Fhe information below is required only when this endorsement is issued subsequent to preparation of the <br /> policy.) <br /> Endorsement Effective 05/01/25 to 05/01/26 Policy No WC3758505. Endorsement No. <br /> Insured Premium <br /> Insurance Company Countersigned by <br /> WC000313 <br /> (Ed.484) <br /> Copyright 1983 National Council on Compensation Insurance <br />