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THIS ENDORSEMENT CHAIN GES'TIME POLICY. PLEASE READ IT CAREFULLY. <br />i AI'll pig I iff, 0 0, �w 1;�� ' 1 0 0 <br />k 11 . "ZI L. <br />L. d <br />Foos A: 'L L- n E. <br />Policy Number 83 WE CE0623 Endorsement Number: <br />Effective IDate: 05/112120 Effective hour is Me same as stated on the Information Page of the pollicy. <br />Named Insured and Address: SAFEBULT LLC INTERWEST CONSULTING GROUP <br />3755 PRECISION R. ST 140 PO BOX 10 <br />LOVELAND CO 8,0538 BOULDER CO 8,0308 <br />We have the right to recover OUr payments from anyone liable for an injury covered by this policy. We will not enforce our <br />right against, the person or organization named in the Schedule, <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule, <br />RIC199" <br />Any Iperson or organization from whom you are required by contract or agreement to obtain this waiver from us. <br />Endorsement is not applicable in KY, NH. NJ or for any M01 construction risk <br />COUntersignEK1 by <br />cF RAMwagmedDMsiun <br />N,�q RE�AEWED & APPROVED BY.- <br />P, VX*vd <br />Form W'C 00 03 13 Printed in U-S,A- <br />Process, Dae. 05/11,120 P o I i c y' E) 6-01 W—Fl� WA Pjanagement Analy5t <br />[/7 <br />