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BLANKET WAIVER OF OUR EIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement Manittra the poicy to whkh It Is attached effootive on the Inception date of the Nky unless a dwateno <br />date Is indicated below. <br />(It* w0whet 14two4re WALara' naafi W wm*tad " WhW M eesM"MW � 4uod ratmqugei la pr%MeWn of 11,6 pall), <br />This an meat, affecoye 4/l/2015 frerns a Pert of Poricy No. WC 39901499 <br />haured to PSOW <br />By NATIONAL ONION FIRE INSURANM WNPAW OF PITTSOURGH, PA, <br />We have a right to recover Mir payments from anyone I" for on bury covered by Of$ pollsy, We will not pailqce <br />our right against any Meant, pr origartzollon with whom you have a wertert Wthest that requires you to obtain jhlz <br />agreement firant us, as tagards any work you perform for such mew or organizalon, <br />Tb,opsldhiond prendont for We endorsement shell be 2. 00 % of the WW estimated wearers compensation pret"um <br />for this polf-'y' <br />WC 04 03 61 Countorelimad by - Arl!�4 <br />(ic 11iful) <br />PSOr,AAS AGREE --N f k REVIEWED BY k- - FUNICE HEREDIA (PG (j ()F <br />