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TRAVELERS J WORKERS COMPENSATION <br /> AND <br /> EMPLOYERS LIABILITY POLICY <br /> ENDORSEMENT WC 00 03 13 (00)— <br /> POLICY NUMBER: UB-C138878A <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 <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 any one not named in the Schedule. <br /> SCHEDULE <br /> DESIGNATED PERSON: <br /> Any person or organization for which the insured has agreed by written contract <br /> executed prior to lass to furnish this waiver. <br /> DESIGNATED ORGANIZATION: <br /> DATE OF ISSUE: 12/10/2025 ST ASSIGN: <br />