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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />TEXAS WAIVER OF OUR RIGHT TO <br />RECOVER FROM OTHERS ENDORSEMENT <br />Policy Number: 41 WE 01-61-178 Endorsement Number: <br />Effective Date: 04/30/21 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: IBI GROUP US <br />8101 N HIGH ST STE 100 <br />COLUMBUS OH 43235 <br />This endorsement applies only to the insurance provided <br />by the policy because Texas is shown in Item 3.A. of the <br />Information Page. <br />We have the right to recover our payments from anyone <br />liable for an injury covered by this policy. We will not <br />enforce our right against the person or organization <br />named in the Schedule, but this waiver applies only with <br />1. () Special Waiver <br />Name of person or organization <br />respect to bodily injury arising out of the operations <br />described in the Schedule where you are required by a <br />written contract to obtain this waiver from us. <br />This endorsement shall not operate directly or indirectly <br />to benefit anyone not named in the Schedule. <br />The premium for this endorsement is shown in the <br />Schedule. <br />Schedule <br />(X) Blanket Waiver <br />Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. <br />2. Operations: <br />All Texas Operations <br />3. Premium: <br />The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in <br />connection with work performed for the above person(s) or organization(s) arising out of the operations described. <br />4. Advance Premium: <br />Form WC 42 03 04 B Printed in U.S.A. <br />Process Date: 04/29/21 <br />euk M..g.,mdD . <br />lG:neam6 APVBo.�®By. <br />mm ui� I. Tau >Dicxaaa <br />rem.ma,ugemm.umuian� <br />Policy Ex',..-..-.. �. ,« <br />