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Hanover <br />Jnsurance Group_ <br />W2WJ682426 2003388 <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 <br />not enforce our right against the person or organization named in the Schedule. (This agreement applies <br />only to the extent that you perform work under a written contract that requires you to obtain this agreement <br />from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />AZ,CO,CT,FL,GA, IL,IN, IA,M I,MO,NV,PA,SC <br />THIS ENDORSMENT APPLIES AS A BLANKET WAIVER <br />OF SUBROGATION FOR THOSE PARTIES HAVING A WRITTEN <br />CONTRACT WITH THE POLICYHOLDER REQUIRING A WAIVER <br />OF SUBROGATION FOR WORKERS COMPENSATION COVERAGE OF THE <br />POLICYHOLDERS EMPLOYEES. <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 <br />Insured <br />Effective Policy No. Endorsement No. <br />Premium <br />Insurance Company Countersigned by <br />WC 00 03 13 <br />(Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. <br />PJA Mnnagemet tDlvisiun <br />REVIEWED&APPROVrDaY. <br />Risk Management SpedAist <br />