Orange County NC Website
DocuSign Envelope ID:3D4D20DD-E384-4780-B168-B7B2CCA4B00B <br /> It UJI <br /> . „- i�,A <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> WAIVER OF OUR RIGHT TO RECOVER <br /> FROM OTHERS ENDORSEMENT <br /> Policy Number: 22 WEG AT6PSX Endorsement Number: 1 <br /> Effective Date: 10/31/22 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Address: Progressive Design Collaborative, Ltd. <br /> 3101 POPLARWOOD CT STE 320 <br /> RALEIGH NC 27604 <br /> We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our <br /> right against the person or organization named in the Schedule. <br /> This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br /> SCHEDULE <br /> Any person or organization for whom you are required by contract or agreement to obtain this waiver from us. <br /> Endorsement is not applicable in KY, NH, NJ or for any MO construction risk <br /> Countersigned by <br /> Authorized Representative <br /> Form WC 00 03 13 Printed in U.S.A. <br /> Process Date: 11/17/22 Policy Expiration Date: 08/16/23 <br />