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<br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF OUR RIGHT TO RECOVER <br />FROM OTHERS ENDORSEMENT <br />m <br />°Policy Number: 57 wEC Fx9552 Endorsement Number. 12 <br />Effective Date: 11/17/10 Effective hour is the same as stated on the Information Page of the policy_ <br />? Named Insured and Address: MBN SERVICES INC DBA <br />N <br />N <br />? 1677 EUREKA ROAD, STE 202 <br />X ROSEVILLE, CA 95661 <br />w <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not <br />o enforce our right against the person or organization named in the Schedule. <br />0 <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />SCHEDULE <br />WOS ANY PERSON OR ORGANIZATION <br />FROM WHOM YOU ARE REQUIRED BY <br />WRITTEN CONTRACT OR AGREEMENT <br />TO OBTAIN THIS WAIVER OF <br />RIGHTS FROM US. <br />Ag TO FpPl`? <br />® gpFRO??p <br />S-` C) RCK <br />LISA E• `t Attorney <br />Assistant C Y J <br />Countersigned by <br />Authorized Representative <br />Form WC 00 03 13 Printed in U.S.A. <br />Process Date: 12/07/10 Policy Expiration Date: 09/15/11