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DocuSign Envelope ID:OB6A4D70-3138-422C-98BF-EA253C4BCA84 <br /> Workers' Compensation and Employers' Liability Policy <br /> Named Insured Endorsement Number <br /> Clean Harbors, Inc. <br /> 42 Longwater Drive Policy Number <br /> Norwell. MA 02061 Symbol: WLR Number: C65228658 <br /> Policy Period Effective Date of Endorsement <br /> 11/01/2018 TO 11/01/2019 11/01/2018 <br /> Issued By (Name of Insurance Company) <br /> ACE American Insurance Company <br /> Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. <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 covered by this policy. We will not <br /> enforce our right against the person or organization named in the Schedule. <br /> This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. <br /> Schedule <br /> Any person or organization against whom you have agreed to waive your right to recovery in a <br /> written contract, provided such contract was executed prior to the date of loss. <br /> For the states of CA, TX, refer to state specific endorsements. <br /> This endorsement is not applicable in KY, NH, and NJ. <br /> Authorized Agent <br /> WC 00 03 13 (11/05)Ptd. U.S.A. Copyright 1982-83,National Council on Compensation Insurance <br />