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INSURED: All City Management Services, Inc. <br />POLICY #i: WCC334410A <br />POLICY PERIOD: 01/01/2026 TO 01/01/2027 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(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 willnot enforce <br />our right against the person or organization earned Hit the Schedule. (This agreement applies only to the extent that <br />you perform work under a Nri(teu 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 />ANY PERSON(S) OR ORGANIZATIONS) WITH WHOM YOU HAVE AGREED <br />TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN <br />AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO A LOSS. <br />This endorsement changes the policy to which it is attached and is effective on the date issued wiless otherwise stated. <br />(Me information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective Policy No. Endorsement No. <br />Insured Premium $ <br />Countersigned By <br />