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,, ,. <br />~VAIV~ItdJ~ 4UR1~ ' <br />G~YT TO I~COV~I~,~Itd <br />WL' ~1fli76 Llla 17gI1L (O ABGOVCl' aur a . ~ M OTkICRS ~i~TllORS~M~NT` <br />eiiforce ouc ri ~ Ytxle~ts frcm anyoue liable fo,c atz itz <br />~xt.~t ~t yo~t ~g~'st tlit perso~ oi arga~i2a(aatt .i~Y cove~•ed b ~ <br />pe~~or~work ~ned i.n Uie Sr.hedu1e. ; ~~~'~cy. Wa will uot . <br />'un.der a w~titeu coufract Uzat rec~uites ~-s a ee <br />• P~' ~ueut a~~p]~cs outy to Uze <br />Tlus agi~ee~n~u.t ~all uot o YDU to ob[aiu tt~is IIgz'ee.u~eilt :~~ouz us.) <br />Peta[e cfirectly oi 'vncluect~y ~a b~ . , <br />. ~t ~~y aue not natr~ed iu tlte Sc~iaduie. . <br />Sci~c~ulc <br />Blanket Waiver <br />' 2820 N. $oxtivro ~.. <br />' ' Duzh;au~, NC 27704 <br />. - APPlies ~o a11, ~abs as requirec3 by <br />. - . . writtezi Cor,~tract, , <br />This ei~clorsement clutngea Hin ~okicy to which' it i& atlached <br />~TI1C IilfO[111aYj4R VC10~Y IR ICqU1FEfj OtlI;+N~1C1! (~1{8 gnapISL~jh ~~~. S IRSqL[I ubeequentto p~ nf,~ion oltl e' iF,o~i~y,~ ~. <br />En~o~ement~ffecurc: ~,2I31/ZO11 . .~ <br />l~o{icyNo.;w~,. ~04.4355 ~3 Bnc}otAemcttit714,: I. <br />insured: bltny~y~ ~~pTF~S I~LLJtvl~iNa Sc T•IEATTN~3 ~.{} ~C <br />~3rrierNo.: 37354 <br />Insurance CanParly: BUTLTJERS ~ . rCCrn'tufn; ~ <br />MLITUAL 1TI$UTtANC''B C~. <br />~~'C`OU 43.I3 <br />(a~. arRa~ <br />' - `Countcrsig~[ed ~y . <br />CuPyrigh; l983' Natianal Council on Gnmpeneatinn InsnrEnc~: ` <br />'rYS~n ~ns~nnM1CSSSUttvCt~;r_uu~r~a, <br />' PtLtCd~an;tnqe 23,.3R1 N • . .• <br />uaa~rn•:•nic <br />