Laserfiche WebLink
BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENOORSEMENT <br />This endorsement changes the policy to which It is attached effective an the inception date of the policy unless a different <br />date is indicated below. <br />(The following "attaching clause" need becompleted only when this endorsement is Issued subsequent to preparation of the policy). <br />This endorsement, effective 12:01 AM 0110112015 forms a part of Policy No. WC 011-95-3044 <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 In)ury 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 2,60 % of the total estimated workers compensation premium <br />for this policy. <br />UVC 04 03 61 Countrarsigned by _ .., _ _ . �?f �� - - -1 -k <br />(Ed, 11790) <br />Authorized Representative <br />TELVENT USA, LLC AGREEMENT # A-2013-016 REVIEWED BY: �� EUNICE HEREDIA (PG. 8 of 8) <br />