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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 43 03 05 <br /> UTAH WAIVER OF SUBROGATION ENDORSEMENT <br /> This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the <br /> Information Page. <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. Our waiver of <br /> rights does not release your employees' rights against third parties and does not release our authority as trustee <br /> of claims against third parties. <br /> SCHEDULE <br /> Any Person or Organization as required by written contract or agreement that is <br /> executed prior to the loss. <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 10/01/2029 Policy No.LDC4068970 Endorsement No. <br /> Insured TETRA TECH, INC. Premium $ Included <br /> Insurance Company Safety National Casualty Corporation <br /> Countersigned By <br /> WC 43 03 05(07 00) Page 1 of 1 <br /> ©2000 National Council on Compensation Insurance,Inc. <br />