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0456 00 0113 (XWC) <br />ENDORSEMENT <br />BLANKET WAIVER OF SUBROGATION <br />Effective 12:01 A.M., Local Time, January 01, 2023 <br />In consideration of the payment of premium and adherence by both parties to the terms of this Agreement, it is <br />hereby understood and agreed that the Recovery From others section of this Agreement is amended to include <br />the following additional language: <br />The CORPORATION has the right to pursue subrogation recoveries from anyone liable for an <br />injury covered by this Agreement. The CORPORATION will not enforce its right against any <br />person or organization for whom the EMPLOYER performs work under a written contract that <br />requires the EMPLOYER to obtain this agreement from the CORPORATION. <br />All otherterms, conditions, agreements and stipulations remain unchanged. <br />Attached to and forming a part of Excess Workers' Compensation and Employers' Liability Insurance Agreement <br />No. SP 4067916, issued by SAFETY NATIONAL CASUALTY CORPORATION of St. Louis, Missouri to KAISER <br />FOUNDATION HEALTH PLAN, INC., ET AL, dated January 01, 2023. Endorsement No. 0456 00 0113 (XWC) <br />Secretary <br />SAFETY NATIONAL CASUALTY CORPORATION <br />J k ()t A <br />President <br />RbkMm%wnedDMsion <br />REMexM & ArrRovm ar. <br />Ap A,wdo <br />�. <br />- <br />RBk Managemen[Spedalist <br />