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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />POLICY NUMBER: WC 2540616-03 (Ed.4-84) <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 policy. We will not enforce <br />our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br />you perform work under a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN <br />CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE <br />ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS <br />POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION <br />WC 00 03 13 <br />(Ed.4-84) <br />®1983 National Council on Compensation Insurance. <br />R"Moaga DM . <br />Pne <br />R&Arvw &: <br />\ %xl Z%rksaaa <br />___'__ -. Rarvv,,aeavmou.d4,ia�ie <br />