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AM, <br />TRAVELERSJ WORKERS COMPENSATION <br />AND <br />EMPLOYERS LIABILITY POLICY <br />POLIO "NUMBER TC2JUB-7440L27-I-16 <br />NTI-ALT14 <br />V4 e have the right to recover our payments from anyone liable for an injury covered by thas pohcy- VVe 41 not <br />enforce our right against the person or organizzatiion named in the Sche&fle. (This agreement applies Only to the <br />extent that you perform work under a wrftten contract that requires YOU to obtain this agreement from Lis <br />This agreement shall not operatt, cfiredy or indirectl� to benefit any one not named in the Scheduit, <br />AN'f PERSON OR ORGANIZATION FOR WHO A WAIVER OF <br />SUBROGATION IS REQUIRED BY CONTRACT OR AGREEMENT OR <br />PERMIT, BUT COVERAGE IS LIMITED TO THE SCOPE OF THE <br />WORX PERFORIblIED BY THE INSURED UNDER SUCH CONTRACT, <br />AGREEMENT OR PERMIT, <br />DATEOF ISSUE og-oa-i6 ST ASSIGN, <br />EN'FE RED <br />7 2u'li" <br />By; <br />