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BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different <br /> date is indicated below. <br /> (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). <br /> This endorsement, effective 12:01 AM 04 101/2025 forms a part of Policy No. WC WC72113159 (CA) <br /> Issued to Psomas <br /> By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. <br /> We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br /> our right against any person or organization with whom you have a written contract that requires you to obtain this <br /> agreement from us, as regards any work you perform for such person or organization. <br /> The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium <br /> for this policy. <br /> WC 04 03 61 Countersigned by _ — — _ _ <br /> Authorized Representative <br /> I <br />