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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different <br /> date is indicated below. <br /> This endorsement, effective 12:01 AM 06/01/2026 forms a part of Policy No. WC 013-62-6322 <br /> Issued to JPMORGAN CHASE & CO. <br /> By A I U INSURANCE COMPANY <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 you <br /> 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 any one not named in the Schedule. <br /> Schedule <br /> ANY PERSON OR ORGANIZATION WITH WHOM YOU <br /> HAVE ENTERED INTO A CONTRACT, A CONDITION OF <br /> WHICH REQUIRES YOU TO OBTAIN THIS WAIVER FROM <br /> US. <br /> THIS ENDORSEMENT DOES NOT APPLY TO BENEFITS <br /> OR DAMAGES PAID OR CLAIMED: <br /> 1..PURSUANT TO THE WORKERS, COMPENSATION OR <br /> EMPLOYERS' LIABILITY LAWS OF KENTUCKY, NEW <br /> HAMPSHIRE, OR NEW JERSEY; OR, <br /> 2. BECAUSE OF INJURY OCCURRING BEFORE YOU <br /> ENTERED INTO SUCH A CONTRACT. <br /> i <br /> This form is not applicable in Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A <br /> where per <br /> mitted b <br /> 16-1807 or public construction contracts as defined in K.S.A. 16 1901 through 16-1908, except p y <br /> statute or other applicable law, such as for use in wrap-up insurance programs. <br /> Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute <br /> a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of <br /> subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover <br /> from others (subrogation) rule in our manual. <br /> This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah. <br /> WC 00 03 13 Countersigned by <br /> (Ed. 04184) <br /> Authorized Representative <br />