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MedPro Group <br />,, Bakddrs u�Mo-rz�m ranip�gr <br />Issuing Company: <br />National Fire & Marine Insurance Company <br />Omaha, Nebraska <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Endorsement No.: <br />Forming Part of Policy No.: <br />Issued to: <br />10 <br />HN033337 <br />Industrial Medical Support <br />Effective Date of Endorsement: 03/15/2021 at 12:01 a.m. at the address of the First Named Insured stated herein. <br />BLANKET WAIVER OF SUBROGATION ENDORSEMENT <br />(GENERAL LIABILITY) <br />In consideration of the payment of the additional premium due, if any, and in reliance upon the representations of all <br />insureds, the company and the insureds agree to amend the policy as follows: <br />Only with respect to coverage provided under the General Liability Coverage Part, the following condition is added to the <br />Conditions section of the Common Policy Provisions and Conditions: <br />WAIVER OF SUBROGATION <br />The company shall waive any right of recovery the company may have against a person or organization to the extent <br />that the insured has agreed in writing prior to the date of loss to waive the insured's rights of recovery against that <br />person or organization. <br />All other terms and conditions of the policy remain unchanged. <br />1512-PGX-00-1215 Page 1 of 1 © 2015 Me <br />RlekMn agemmt DMsbn <br />REVIEWED&APPROVED BY: <br />Al. <br />- Ruk Management Mayst <br />