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BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement change-: =ha poi cy to which it is attached effective on the inception dote of the policy unless a differentdote is <br />indicated below. <br />(The fthw-ig 'attorning chute" need to covoetec my 'hen tn: endni terne nt c h^jee nub regnant to (neperotnn of the percy). <br />• This, endorsement, effective 12:01 AM 06/30/2025 farms a part of Policy Na. WC 970-87-427 <br />fasuedtoJ. HARRIS INDUSTRIAL WATER TREATMENT, INC. DBA <br />By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA <br />We have a right to iecoverour payments from anyone Bette for an injury cove ec bythis policy. We will notenforce our rightagainst <br />any person ororganization with whomyou have a written contractthat requiresyou to obtain Chis agreementfrom us. as regards <br />any work you perform for such parson or organization. <br />The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium <br />far 1 his policy. <br />WC M 03 61 Countersigned by <br />(Ed. 11/90) <br />