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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC tltl 03 13 <br />(Ed, 484) <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />We have the right to recover cur payments from anyone liable for on 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 you <br />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 beneRit anyone not named m the Schedule, <br />Schedule <br />ANY PERSON OR ORGANIZATION ON WHOSE BEHALF YOU ARE REQUIRED TO OBTAIN <br />THIS WAIVER Cr OUR RIGHT TO RECOVER FROM UNDER WRITTEN CONTRACT <br />OR AGREEMENT. NOT APPLICABLE IN KANSAS. <br />This oodarsement changes tha Polley to which it Is attached and Is adactive on the date Issued timina8 otherwise atatotl. <br />(The Information below I$ required onto When this endorsement Ia Issued eubesquant to preparation of the pollryj <br />Endom menl Elraative 07/01/2017 Pollcy No, 301.1086712 (ALI othar&ndoraement No. <br />Inewod MGT of Ametice Coasulting, id'C PremBam <br />Insurance Company Valley T+or:ge Ins. Co. Ccuntersiyned by <br />WO 00 0313 <br />(Ed. 4-154) Cppydght5089Ned onalCouncil unComparsutenInsurance. <br />( .� �L <br />L�a� .> <br />Margaret Mercer at 5:44 pm; Oct 31, 2077: <br />