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WC 00 03 13 <br />© 1983 Nationa Counci on Compensat on Insurance <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />ENDORSEMENT <br />W e have he right o recover our payments from an one iable or an injur covered by his policy. W e 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 an one not named in the Schedule. <br />Schedule <br />This endorsement hanges the polic to which is attached and s ef ective on the date issued unless other- <br />wise stated. <br />(The information below is required onlywhen this endorsement s ssued subsequent to preparation of the policy ) <br />Endorsement Effec ve Policy No.Endorsement No <br />Insured <br />Insurance Compan Premium $ <br />Countersigned b <br />Blanket Waiver of Subrogation <br />If you are required by a written contract or agreement, <br />which is executed before a loss, to waive your rights of <br />recovery from others, we agree to waive our rights of <br />recovery. <br />This waiver of rights applies to any person or organization <br />for whom the Named Insured has agreed by written contract <br />to furnish this waiver, but shall not be construed to be a <br />waiver with respect to any other operations in which the <br />Insured has no contractual interest. <br />04-15-2025 EWC 074 42 57-00 <br />HARROD AND ASSOC CONSTRUCTORS INC <br />THE CINCINNATI INSURANCE COMPANY INCL <br />Docusign Envelope ID: CDA8BC13-5510-49F0-8DB8-09A7E9128D06