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DESCRIPTIONS (Continued from Page 1) 1 <br />reasons other than non-payment of premium and 10 days notice of cancellation for non-payment of premium will <br />be given to the Certificate Holder by the Insurance Carrier. <br />The following endorsements apply to the names/projects/events listed below only if required by written <br />contract or agreement or agreement: <br />WC000313 Waiver of Our Right to Recover from Others Endorsement (Blanket Waiver of Subrogation) <br />WC040306 Waiver of Our Right to Recover from Others Endorsement California (Blanket Waiver of Subrogation) <br />WC420304B Texas Waiver of Our Right to Recover from Others Endorsement (Blanket Waiver of Subrogation) <br />UWC3083ACW Broad Form Named Insured Endorsement <br />WC000301A Alternate Employers Endorsement <br />WC990635 Notification To Others Of Cancellation, Nonrenewal Or Reduction Of Insurance Endorsement <br />WC990646 Illinois Blanket Notification To Others Of Cancellation or Nonrenewal Endorsement <br />WC000311A Voluntary Compensation & Employers Liability Coverage Endorsement <br />WC040305 Voluntary Compensation & Employers Liability Coverage Endorsement - California <br />UWC198C Foreign Voluntary Compensation & Employers Liability Coverage Endorsement <br />WC000106A Longshore & Harbor Workers' Compensation Act Coverage Endorsement <br />WC040101A Longshore & Harbor Workers' Compensation Act Coverage Endorsement California <br />The waiver of subrogation coverage indicated by the box checked above is provided by the forms listed that <br />only extend coverage if required of the insured by a written contract or agreement. <br />RE: Project#A-2020-259-01. <br />eh e�.' REVIeJ/ED6AavRov®Br �. <br />A A <br />142 <br />; <br />'�—=� Risk Management Speaalist <br />SAGITTA 25.3 (2016/03) 2 of: <br />#S41951465/M41934304 <br />