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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 />(Tne following "attacning clause" need be cornpleted only when this eidorsement is issued subsequent to preparation of the policy). <br />This endorsement, effective 12:01 AM O1 101 J 2013 forms a part of Policy No. WC 018-11-2552 <br />Issued to SCHNEIDER ELECTRIC HOLDINGS, INC. <br />By NEW HAMPSHIRE INSURANCE COMPANY <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 />1� <br />WCQ40361 Countersigned by___________________ <br />(Ed. 11190) <br />Authorized Representative <br />