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Workers'Compensation and Employers' Liability Policy <br />Narned Insured <br />Endorsement Number <br />TYCO INTERNATIONAL MANAGEMENT COMPANY, <br />LLC <br />PRINCETON NJ 08540 <br />SymboIWLR Numhei:C48592284 <br />Effective Date of Endorsement <br />10-01-2015TO 10-0 1-2016 <br />10-01 2015 <br />ISSLIed By Name. Of InSLIQUICO Company) <br />�RICAN <br />ACE INSURANCE COMPANY <br />me nthe )lcymammm P. rROiainderof the information is to be 1,onthead onlyAl�en this endomnment is issued 2 �e Uem otnin Of the policy, <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 tnthe <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 />0ohodu|w <br />ANY PERSON VR ORGANIZATION AGANSTYVHOM YOU HAVE AGREED T0 WAIVE YOUR <br />RIGHT DF RECOVERY !NA WRITTEN CON TRACT, PROVIDED SUCH CONTRACT WAS <br />EXECUTED PRIOR T0 THE DATE OFLOSS, <br />For the states cd CA, UT, TX, refer io state specific endorsements. <br />This endorsement is not applicable in KY, NH, and NJ. <br />yright 1982-83, National Council on Compensation <br />