Orange County NC Website
WC 00 03 13 <br />(Ed. 4-84) <br /> 1983 National Council on Compensation Insurance. <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84) <br />POLICY NUMBER: MWC314250 24 <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. (This agreement applies only to <br />the extent that 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 />WHERE REQUIRED BY CONTRACT OR AGREEMENT <br />DATE OF ISSUE: 10/01/2024 <br />Docusign Envelope ID: 08EB7AB9-4CA5-42DD-AE56-28706889019F