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DocuSign Envelope ID: DB786lA7-7465-4A17-A9DE-51CF3E64EDA0 <br /> WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed. 4-84) <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 enforce <br /> our right against the person or organization named in the Schedule. (This agreement applies only to the extent that <br /> 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 /> Schedule <br /> /004S <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is Issued subsequent to preparation of the policy.) <br /> Endorsement Effective Policy No.21-193305 Enders ent No. <br /> remium <br /> Insured: Redmill Landscape&Nursery,Inc. / �, <br /> Countersigned by (I <br /> Insurance Company-.Union Insurance Co of <br /> Providence <br /> /"4s WC 00 03 13 <br /> (Ed.4-84) <br /> 0 1983 National Council on Compensation Insurance. <br />