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Miscellaneous Attachment: M460261 Certificate TD: 17783104 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY <br />WC 00 03 13 (Ed. 04-84) <br />POLICY NUMBER: WC9336626 <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 <br />policy. We will not enforce our right against the person or organization named in the Schedule. <br />(This agreement applies only to the extent that you perform work under a written contract that <br />required you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit any one not named in the <br />Schedule. <br />SCHEDULE <br />Any person or organization that requires you to waive your rights of recovery in a written <br />contract or agreement with the Named Insured. <br />This endorsement changes the policy to which it is attached and is effective on the date issued <br />unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to <br />preparation of the policy.) <br />w.k t a�R <br />f�ineyEn6 nraRw®er: <br />Risk Maiiageimrt Unical AMde <br />