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DocuSign Envelope ID:AO5BAC11-3B82-4B08-8F14-C38030E0460A <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed.4-64) <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 COYeriad by this policy.We will not enforce <br /> our right against the person or organization named in the Schedule. (This egmement applies only to the extent that <br /> you perform work ender a written contract that requires you to obtain this agreement fezifft <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> Schedule <br /> Blanket Waiver <br /> Persori/Orearsizatiorn Blanket Waiver-Any person or organization for whom the Named Insured has <br /> agreed by written contract to furnish this waiver. <br /> 301)Description <br /> All NC Operations <br /> This endorsement changes the policy to which it iv etteched and its effective on the date issued unless othenvirse stated. <br /> (The informetlan below Is required only when thie endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective Policy No. PRWC693378 I No. <br /> Insured Cos- <br /> Insurance Company Countersigned by <br /> WC On 03 13 <br /> (Ed.444) <br /> •Ina Melo,*courKA on Cmtlponoottion Inourailau. <br />