Laserfiche WebLink
rem <br />s� <br />MGT of America, Inc. Po]]cy 3011086712 <br />All Other <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4 -134) <br />WAIVER OF OUR RIGHT TO 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 crganizatlen 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 agisemontshall not oparate'directly or Indirectly to banelll anyone not named in the Schedule. <br />Schedule <br />ANY PERSON OR ORGAbaZATSON ON WHOSE BEHALF YOU ARE REQUIRED TO OBTAIN <br />THIS WAIVER OF OUR RTGRT TO RECOVER FROM UNDER A WRITTEN CONTRACT <br />OR AGREEMENT. <br />This endoraomont changes tho policy to whleh n Is attschod and Is e11e011VO an the date Issued unless othendeo asated. <br />(The infarmallch below Is required only what this Onderaemanl Is bsuOd subesquent to preparetlon of the pollcy.l <br />Endorsement Effeclris Palley No. Endor60mehtNo, <br />Insured Prendums <br />Insurance Oompany <br />WC 00 OS 13 <br />(Ed,"4) <br />Countersigned by <br />Copyright 11693 Nedonet COMM un OompensaUon Insurance. D 1�6 <br />LISA � " ` Attorney <br />p„sistant City <br />