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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4 -84) <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 not enforce our <br />right against the person or organization named in the Schedule. (This agreement applies only to the extent that you <br />perform 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. <br />Schedule <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 Effective 07/01/09 Policy No. 20WN MF5434 A/o Endorsement No. <br />Insured: TxC solutions, Inc. Premium $ INCL <br />Company: Twin City Fire Insurance Company (Hartford) Countersigned By <br />WC 00 03 13 <br />(Ed. 4 -84) <br />Copyright 198:1 National Council on Compensation Insurance. AGENT COPY <br />