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WORKERS' COMPENSATION AND EMPLOYERS' L IABI ITY INSURANCE POLICY <br />WC0003 13 <br />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 <br />policy unless a different date is indicated below. <br />(The following" attaching clause" need be completed only when this endorsement is issued <br />subsequent to preparation of the policy.) <br />This endorsement, effective on 4/30/2018 <br />Policy No: 71750505 of the FEDERAL INSURANCE COMPANY <br />Issued to BEST BEST & KRIEGER <br />We have the right to r6cover our payments from anyone liable for an injury covered by this policy. <br />We will not Bnforce our right against the person or organization named in the Schedule. This <br />agreement applks only to tho extent that you perform work under a written contract that requires <br />you to obtain th is agreement from us.* <br />This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule, <br />JOB DESCRIPTION: <br />ALL OPERATIONS <br />Attachment Code: D466017 <br />Certificate ID: 11767171 <br />Schedule <br />BLANKET WAIVER -ANY PERSON OR <br />ORGANIZATION FOR WHOM THE <br />NAMED INSURED HAS AGREED BY <br />WRITTEN CONTRACT TO FURNISH THIS <br />WAIVER. <br />