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DocuSign Envelope ID: E504FA6A-OE5D-49F2-8F1B-890606623980 <br /> WORKERS COMPENSA'11711014 AND EMP40YERS LIABILITY INSURANCE POLICY WC OD 0313 <br /> ......... ....... (Ed.4-94) <br /> ........... <br /> WAIVER OF OUR RIGHT To RRC0vgR FROM()THERE IENDORSEltdENT <br /> We rlavia the rfom to mrovar Our P,�VMQIIN fcM^Ong flablO 10C 04 injury Covered by this pofty.We w not enforce <br /> osAr right Ajaiw the Pel,09 of Manintl0l)Nined in tho Schedula.t-rhis Agreatnent,appilots cAlly to the extent tiff <br /> you per6rrn wotk md'er a vaitton contrmq that f6qusfeg you to"in this aqwernerkt from us.) <br /> Thle agmemerd shalf mg operate direoy of indirectly to benefit SnWne not named In the Sohodula. <br /> scheduto <br /> Moket Walver <br /> P'arson/oratnization. Ellafillet Rive;•Any person or orSaplkaticto far urjv-%m Me Named Insured has <br /> agreaO by P,?rkten rontract to runush tuts waiver. <br /> yob D"Cription WOver PrwWum <br /> All NC Operations 14140 <br /> This ondometpwnt djgjjgas thu pL*cy to whk,,b It it 01140had and ID offee9veon 14 data Issued u)'(640 04h"w stmtud. <br /> (Tho Worm;Wan below is required only Whejj this 4ndorsomeM Is luugd xUblKeqUOM to preps(gifloft 01 the policy.) <br /> Endorsemont affilcigVe, No, PRWC838165 <br /> Insure A pm gurn <br /> Insurance company Countersigned <br /> wa 00 4313 <br /> (Ed,4-043 <br /> Q 190 Nidlarm romml an*61mp rn*rmfl W&M ftft. <br />