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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 42 03 04 B <br /> (Ed. 06-2014) <br /> Texas Waiver of Our Right to Recover From Others Endorsement <br /> This endorsement applies only to the insurance provided 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 liable for an injury covered by this policy. We will not enforce <br /> our right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily <br /> injury arising out of the operations described in the Schedule where you are required by a written contract to obtain <br /> this waiver from us. <br /> This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> The premium for this endorsement is shown in the Schedule. <br /> Schedule <br /> 1. ( ) Specific Waiver <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: All Texas Operations <br /> 3. Premium: <br /> The premium charge for this endorsement shall be 2.0% percent of the premium developed on payroll in connection <br /> with work performed for the above person(s)or organization(s)arising out of the operations described. <br /> 4. Advance Premium: Included in Item 4 of the Extension of Information Page <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 04/01/2025 Policy No. 202002227 Endorsement No. 000 <br /> Insured Digistream Investigations, Inc. Premium <br /> Insurance Company QBE INSURANCE Countersigned by <br /> CORPORATION <br /> WC420304B <br /> (Ed. 06-2014) <br /> 1 of 1 <br /> ©Copyright 2014 National Council on Compensation Insurance,Inc.All Rights Reserved. <br />