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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84), <br />WAIVER OF OUR RIGHT TO RECOVERFROM OTIHIERS ENDORSEMENT <br />We have thin right to recover our payments from anyone liable for an, injury covered by this policy. We will not enforce <br />our right against the person or organization narned In the Schedule. (This agreement applies only to the extent that you <br />perform work Linder a written contract that requires you to obtain this agreement from us.) <br />This agreement shall not operate directly or Indirectly to benefit anyone not narnedin the Schedulb. <br />-1 =14=001A <br />I U01 9P IMM 310) M7101 V MU 31 <br />This endorsement changes the policy lo which It In attached and is effective on the date Issued unless otherwise stated. <br />('The Information below Is required only when this endorsement is issued subsequent to preparation of the pollcy.) <br />Endorsement Effective 05/01/1,7 Policy No. WC 3504806 - 16 Endorsement No. <br />insured A'NTEC� US/k HOLDINGS, IN( , Premium $ <br />Insurance Company Aniedcan AlriCh hisurance ("0111pany Countersigned By <br />WC 00 03 13 <br />Copyright 1983 Nallinnal Cotjnr4 (w Componsalion Irsuranw <br />V", IN (1111�1-'-- 7 <br />