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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 will not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to <br />the extent that 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 />ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS <br />REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER, FOR <br />ARIZONA OPERATIONS ONLY. <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 Effective07/01/2024 <br />Insured Aspen Environmental Group <br />Insurance Company INSURANCE <br />Policy No. WVE 5056103 04 <br />COMPANY OF THE WEST <br />Countersigned By <br />Endorsement No. <br />Premium $ INCL . <br />orz,N�F RAManagmumtDMsian <br />r' REVIEWED & APPROVED BY. <br />x <br />®� <br />Risk Management Specialist <br />7/15/2024 <br />© 1983 National Council on Compensation Insurance. <br />INSURED <br />80932498 124-25 GL, Auto, Umbl, Prof. Liab & WC I Alba De La Cerda 1 7/15/2024 9:45:41 AM (PDT) I Page 7 of 8 <br />