Laserfiche WebLink
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 43 0� <br /> (Ed. 7-vv) <br /> UTAH WAIVER OF SUBROGATION ENDORSEMENT <br /> This endorsement applies only to the insurance provided by the policy because Utah is shown in Item 3.A. of the Information <br /> Page. <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br /> right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform <br /> 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. Our waiver of rights does <br /> not release your employees' rights against third parties and does not release our authority as trustee of claims against third <br /> parties. <br /> Schedule <br /> 1. Waiver Type Blanket <br /> Any person or organization for whom the named insured has agreed by written contract to <br /> furnish this waiver. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> Endorsement Effective 10/28/2025 Policy No. 4101201 Endorsement No. <br /> Insured AlterTech Solutions LLC Premium <br /> 6185 S Mount Vernon Dr <br /> Salt Lake City, UT 84107 <br /> Insurance Company WCF Mutual Insurance Company <br /> Countersigned by <br /> WC 43 03 05 <br /> (Ed.7-00) <br /> © Copyright 2000 National Council on Compensation Insurance,Inc.All Rights Reserved. <br />