Laserfiche WebLink
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 that you perform work under 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 named in the Schedule. <br />Not applicable in Alaska, Kentucky, Now Hampshire and New Jersey <br />Schedule <br />Where required by contract or written agreement prior to loss and allowed <br />by law. <br />In the states of Alabama, Arizona, Arkansas, Colorado, Dist. Of Col, <br />Georgia, Idaho, Illinois, Indiana, Michigan, Mississippi, Missouri, <br />Montana.., Nevada, New Mexico, NorthCarolina, Oklahoma, Pennsylvania, Rhode <br />Island, South Carolina, South Dakota, Vermont, West Virginia the premium <br />charge is 2%of'the total manual premium, subject to a minimum premium of <br />$100 per policy. <br />In the states of Connecticut, Florida, Iowa, Maryland, Nebraska, Oregon <br />the premium charge is 1% of the total manual premium subject to a minimum <br />premium of $2SO per policy, <br />In the state of Louisiana the premium charge is 2% of the total standard <br />premium subject to a minimum premium of $250 per policy.ln the state of <br />Massachusetts the premium charge Is 1% of the total manual premium. <br />In the state of New York the premium charge is 2 °k of the total manual <br />premium, subject to a minimum premium of $250 per policy. <br />In the state of Tennessee there is no premium charge. <br />In the state of Virginia the premium charge is 5% of the total manual <br />premium, subject to a minimum premium of $250 per policy. <br />Issued by Libarty Insurance Corporation 21814 <br />For attachment to Poilcy No. WA7- 68D- 004145 -775 Effective Date 0813072o40 Premium $ <br />Issued to Michael Baker International, Inc. <br />WC 00 0313 41983 National Council on Compensation Insurance, Page 1 of 1 <br />Ed. 04101/1984 <br />