Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> TEXAS WAIVER OF OUR RIGHT TO <br /> RECOVER FROM OTHERS ENDORSEMENT <br /> Policy Number:59 WE AL3MXU Endorsement Number: <br /> Effective Date: 06/01/2022 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: <br /> IEC Corporation <br /> 16485 Laguna Canyon Rd#300 <br /> Irvine, CA 92618 <br /> This endorsement applies only to the insurance of the operations described in the Schedule where <br /> provided by the policy because Texas is shown in you are required by a written contract to obtain this <br /> Item 3.A. of the Information Page. waiver from us. <br /> We have the right to recover our payments from This endorsement shall not operate directly or <br /> anyone liable for an injury covered by this policy. We indirectly to benefit anyone not named in the <br /> will not enforce our right against the person or Schedule. <br /> organization named in the Schedule, but this waiver The premium for this endorsement is shown in the <br /> applies only with respect to bodily injury arising out Schedule. <br /> Schedule <br /> 1. ( ) Special Waiver <br /> Name of person or organization <br /> (x) Blanket Waiver <br /> Any person or organization for whom the Named Insured has agreed by written contract to furnish <br /> this waiver. <br /> 2. Operations: <br /> 3. Premium: <br /> The premium charge for this endorsement shall be percent of the premium developed on payroll <br /> in connection with work performed for the above person(s) or organization(s) arising out of the operations <br /> described. <br /> 4. Advance Premium: <br /> REVIEW ED&APPROVED BY: <br /> Form WC 42 03 04 B Printed in U.S.A. , <br /> Process Date: Policy Expiration DE - <br /> Risk Management Analyst <br />