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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <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 en- <br /> force our right against the person or organization named in the Schedule, (This agreement applies only to the extent that <br /> you 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 any one not named in the Schedule. <br /> Schedule <br /> NY ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED <br /> PA ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED <br /> CT ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED <br /> FL ALL PERSONS OR ORGANIZATIONS ON FILE WITH THE INSURED <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise slated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective 09/01/2024 Policy No. 406-04-54-43-0006 Endorsement No. <br /> Insured E.J. WARD, INC. Premium$ <br /> Insurance company Atlantic Specialty Insurance Company <br /> Countersigned By <br /> WC 00 03 13 04 84 ©1983 National Council on Compensation Insurance. Page 1 of 1 <br /> E-INSURED <br />