Laserfiche WebLink
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />UTAH WAIVER OF SUBROGATION 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 <br />provided by the policy because Utah is shown in Item <br />3.A. of the Information Page. <br />We have the right to recover our payments from <br />anyone liable for an injury covered by this policy. We <br />will not enforce our right against the person or <br />organization named in the Schedule. (This agreement <br />applies only to the extent that you perform work under <br />Schedule <br />a written contract that requires you to obtain this <br />agreement from us.) <br />This agreement shall not operate directly or indirectly to <br />benefit anyone not named in the Schedule. Our waiver <br />of rights does not release your employees' rights <br />against third parties and does not release our authority <br />as trustee of claims against third parties. <br />Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. <br />Endorsement is not applicable in KY, NH, NJ or for any MO construction risk <br />Countersigned by <br />P w.�nm,,.8m.niw,a l wwe�o6 ArrnWmBr. <br />It 7&,e rl%&wS <br />Form WC 43 03 05 Printed in U.S.A.Rg.am�ade <br />Process Date: 04/29/21 Policy EX......., <br />