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Miscellaneous Attachment: M451784 Certificate ID: 19937079 <br />Policy Numbers: WORKERS COMPENSATION AND <br />EMPLOYERS LIABILITY POLICY <br />UB-IT88663A (AOS) ENDORSEMENT WC 00 03 13 <br />UB-1T885681 (AZ, MA, WI) <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. <br />We will not enforce our right against the person or organization named in the Schedule. (This <br />agreement applies only to the extent that you perform work under a written contract that requires you <br />to obtain this agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. <br />SCHEDULE <br />DESIGNATED PERSON: <br />Any person or organization for which the Insured has agreed by written contract executed prior to <br />loss to furnish this waiver. <br />DESIGNATED ORGANIZATION: <br />Any person or organization for which the Insured has agreed by written contract executed prior <br />to loss to furnish this waiver. <br />APPROVED <br />By Cynthia Mora at 4:54 pm, Dec 10, 2024 <br />