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This endorsement changes the poi, 4 to which It is attached effective on the incWlon date of the policy unless a different <br />date Is indicated below, <br />frho RAIvMrQ '0000*V dmW now be conIPWted onY vAm ft w4osenwit 15 wed ID preparaWn of the Wxo <br />This endomemem effectlya 411/2015 forms a Pert of Pdipy No. WC 39901499 <br />Issued to PS.OW <br />By NAT I ONAL UNION FIRE I NSURAWE COMPANY OF PITT BURGH, PA. <br />We have a fight to recover our payments from Anyone Ma,We for an !njt!ry cpyorod by Ns. policy. We will not effo(Pa <br />oLX rijihipaafnst any pwson to obtain this <br />or organOtloo with whom yQu, have a written conirea that requires you <br />agreerngnt from us, as nVards any work you perform for such pwwn of orgaNzatRX1. <br />The.AddWanal prarraum for thIs andorsen*nt shd be 2.00 % of the total estimated workers compensation premium <br />for this policy. <br />(Ed. 111190) <br />Authorizod Representa&* <br />