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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84: <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 enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />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 anyone not named in the Schedule. <br />Schedule <br />Blanket Waiver of Subrogation <br />Tennessee <br />This endorsement changes the policy to which it is attached and Is effective on the date issued unless otherwise stated. <br />(The Information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective Date:06/01/2020 Policy No, WC 928638713484 <br />Policy Effective Date: 06/01/2020 to 06/01/2021 <br />Insured: IEC Corporation <br />DBA: <br />Carrier Name / Code: Argonaut Insurance Company <br />WC 00 03 13 Countersigned by <br />(Ed. 4-84) <br />0 1983 National Council on Compensation Insurance. <br />Endorsement No. <br />Premium $ <br />'9,,y. <br />,ryF <br />gLge���a���ncn <br />RlekMun�tmerrtDlWslon <br />REMEWEDE APPROVED BY: <br />F'.V�;. <br />Risk Management Analyst <br />