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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Countersigned by <br />Authorized Representative <br />Form WC 00 03 13 Printed in U.S.A. <br />Process Date: 06/22/24 Policy Expiration Date: 08/02/25 <br />WAIVER OF OUR RIGHT TO RECOVER <br />FROM OTHERS ENDORSEMENT <br />Endorsement Number:Policy Number: 22 WEG CQ9796 <br />Effective Date: 08/02/24 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address:BALLENTINE ASSOCIATES, P.A. <br />221 PROVIDENCE RD <br />CHAPEL HILL NC 27514 <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 />Docusign Envelope ID: 016C7FF8-5EB3-4D21-A006-0A8906E60E75