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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 />(The following 'attaching clause" need be completed only when this endorsement s sued subsequent 10 prepano on of the Po cyy, <br />This endorsement, effective 12:01 AM 07/0112014 forms a part of Policy No. WC 34157319 <br />Issued to NORTHSTAR DEMOLITION AND REMEDIATION, LP <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 />A l" OVER AS TO FORM <br />Laura A. Rossini <br />;color Assistant City Attorney <br />WC 04 03 61 Countersigned by - - - - -sa� -`- - - <br />(Ed. 11/90) <br />---- ------ - - ---- <br />Authorized Representative <br />