Laserfiche WebLink
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br /> WC 00 03 13 04 84 <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br /> 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 for which you have agreed to waive your rights of recovery in a written contract, <br /> provided such contract was executed prior to the date of 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 Policy No. Endorsement No. <br /> 10/20/2025 TWC 7024349 12 <br /> Insured Premium <br /> Wildebeest Topco LLC <br /> Insurance Company: Countersigned by <br /> Berkley National Insurance Company <br /> WC 00 03 13 04 84 © 1983 National Council on Compensation Insurance Page 1 of 1 <br />