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Issuing Company: <br /> 1® MedPro Group National Fire & Marine Insurance Company <br /> It,k:6iml6dhmrernmren, Omaha, Nebraska <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULL Y. <br /> Endorsement No.: 12 <br /> Forming Part of Policy No.: HN033337 <br /> Issued to: Industrial Medical Support, Inc <br /> Effective Date of Endorsement: 03/15/2025 at 12:01 a.m. at the address of the First Named Insured stated herein. <br /> BLANKET WAIVER OF SUBROGATION ENDORSEMENT <br /> (GENERAL LIABILITY) <br /> In consideration of the payment of the additional premium due, if any, and in reliance upon the representations of all <br /> insureds, the company and the insureds agree to amend the policy as follows: <br /> Only with respect to coverage provided under the General Liability Coverage Part, the following condition is added to the <br /> Conditions section of the Common Policy Provisions and Conditions: <br /> WAIVER OF SUBROGATION <br /> The company shall waive any right of recovery the company may have against a person or organization to the extent <br /> that the insured has agreed in writing prior to the date of loss to waive the insured's rights of recovery against that <br /> person or organization. <br /> All other terms and conditions of the policy remain unchanged. <br /> 1512-PGX-00-1215 Page 1 of 1 © 2015 MedPro Group. All rights reserved. <br />