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Policy Number: BNUWC0150662 <br /> WORN 0313 <br /> 4-84) <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- BLANKET <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 /> State Description <br /> NE Any party with whom the insured agrees to waive subrogation in a written contract. <br /> CA Any party with whom the insured agrees to waive subrogation in a written contract. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective Date: 04/01/2025 Policy Number:BNUWC0150662 Endorsement No.: 4 <br /> Insured Name: Roadmaster Drivers School of Fontana, Inc. Premium: $15,333.00 <br /> Insurance Company: StarNet Insurance Company <br /> Countersigned by <br /> WC 00 03 13 <br /> (Ed. 4-84) <br /> ©1983 National Council on Compensation Insurance. <br />