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<br /> MGT of America, Inc. Policy 3011086712 Effective 7/1/10-11 All Other <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed. 4-84) <br /> <br /> WAIVER OF OUR RIGHT T 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 i 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 Indirect y to benefit anyone not named in the Schedule. <br /> Schedule <br /> <br /> ANY PERSON OR ORGANIZATION O WHOSE BEHALF YOU ARE REQUIRED TO OBTAIN <br /> THIS WAIVER OF OUR RIGHT TO RECOVER FROM UNDER A WRITTEN CONTRACT <br /> OR AGREEMENT. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> t~ <br /> This endorsement changes the policy to which It Is attached a Is effective on the date Issued unless otherwise stated. <br /> (The Information below Is required only when this endorse nt Is issued subsequent to preparation of the policy.) <br /> Endorsement Effective Policy No. Endorsement No. <br /> Insured Premium $ <br /> Insurance company Countersigned by <br /> WC 00 03 13 <br /> (Ed. 4-84) Copyright 19 National Council on compensation Insurance. <br />