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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed.1-81) <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 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 /> State Entity Name Contract or Description of Work Waiver Waiver Type <br /> Project Number Premium <br /> CA Where $3,276 BLANKET <br /> Required by <br /> Contract. <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 1011/2025 Policy No,AWC748004001 Endorsement No. <br /> Insured Quality Fence Company Inc. Premium <br /> Insurance Company XL Insurance America Inc. Countersigned by <br /> WC 00 03 13 <br /> (Ed. 04-84) <br /> 1 of 1 <br /> @ 1983 National Council an Compensation Insurance. <br />