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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different <br />date is indicated below. <br />(The following "attacn,ng clause" need be completed onty when this endorsement is issued subsequent to preparation of the policy), <br />This endorsement, effective 12:01 AM 04/oi/2013 forms a part of Policy No, WC 033-57-5361 <br />Issuedto UNITED TECHNOLOGIES CORPORATION <br />By NEW HAMPSHIRE INSURANCE COMPANY <br />Premium INCLUDED <br />We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against the person or organization named in 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 indirectly to benefit any one not named in the Schedule. <br />Schedule <br />ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME <br />OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY <br />AGAINST, UNDER ANY CONTRACT OR AGREEMENT YOU ENTER <br />INTO PRIOR TO THE OCCURRENCE OF LOSS. <br />This form is not applicable in California. Kentucky, New Hampshire. New Jersey. North Dakota. Ohio. Tennessee. <br />Texas. Utah. or Washington. <br />WC 00 03 13 Countersigned by <br />(Ed.04184) _.------_.---- ---------...._—_.. <br />APPROVE Fi5 TO YC�t <br />thorized Representative <br />`lssistnni rife Attofl // L <br />