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Attachment Code: D679925 Master ID: 1566486, Certificate iD: 22674129 <br />CNA <br />'World rs Compensation And Emplayiars Liao Insurim-ce <br />Policy Endorsement <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />We have the right to recover our payments from anyone liable for an injury covered by this policy, We will not <br />enforce our right against the person or organization named in the Schedule. This agreement applies only to the <br />etentthatyou perform work under a written contract that requires you to obtain this agreementfrom us. <br />This agreementshall not operate directly or indirectly to benefitanyone notnamed in the Schedule. <br />Any person or organization for which the employer has agreed by written contract, executed prior to loss, may <br />execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this <br />waiver of subrogation does notapply to any construction group of classifications as designated by the waiver of <br />right to recover from others (subrogation) rule in our manual, <br />Schedule <br />Any Person or Organization on whose behalf you are required to obtain this waiver of our right to <br />recover from under a written contractor agreement. <br />The premium charge for the endorsement is reflected in the Schedule of Operations. <br />All other terms and conditions of the policy remain unchanged. <br />This endorsement, which farms a part of and is for attachment to the policy issued by the designated <br />Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless <br />another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with <br />said policy unless another expiration date is shown below, <br />Form No: VC 00 03 13 (04-198.4) Policy No; VVC8035454526 <br />Endorsement Effective Date: Endorsement Expiration Date: <br />Endorsement No: ; Rage: 1 of 1 Policy Effective Date: 01101J2026 <br />U n d e r.Nritin g Company: The Continental Insurance Company, 151 N FranHin St, Chicago, IL 6 06 06 <br />Copyright 1983 National Council on Compensation Insurance, <br />