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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> WAIVER OF OUR RIGHT TO RECOVER <br /> FROM OTHERS ENDORSEMENT <br /> Policy Number: 84 WE BC3WUM Endorsement Number: <br /> Effective Date: 01/01/26 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: ADMINSURE, INC. <br /> 3380 SHELBY ST <br /> ONTARIO CA 91764 <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. <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> SCHEDULE <br /> Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. <br /> Endorsement is not applicable in KY, NH, NJ or for any MO construction risk <br /> Countersigned by <br /> Authorized Representative <br /> Form WC 00 03 13 Printed in U.S.A. <br /> Process Date: 10/16/25 Policy Expiration Date: 01/01/27 <br />