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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 <br />(Ed. 04-84) <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 <br />enforce our right against the person or organization named In the Schedule. (This agreement applies only to the <br />extent thatyou perform work under a written contract that requires you to obtain this agreement from LIS.) <br />This agreement shall not operate directly or Indirectly to benefit anyone not named In the Schedule. <br />Schedule <br />Any party which is required by written contract <br />This eadorsementchanges the policy to which it is attached and Is effective on the date issued unless otherwise stated. <br />Policy No. W00381004 <br />Insured: United Testing Corporation dba United Inspection A Tesing <br />Insurance Company: Zurich Insurance Company Countersigned by &Fera &090 <br />WC124 (4.84) 1 Page 1 of 1 <br />WC 00 0313 copyright 1983 National council on Compensation Insurance, Ina. Un Uorm Formst'u <br />REVIEWED f1Y. G+ �� 1 EUNIC,E HEREUTA (Pc: or-2*3 <br />