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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement, effective on 11/20/2025 at 12:01 A.M. standard time, forms a part of <br />Policy No.1938579 <br />Issued to Harris Brothers Electric and Controls, Inc. <br />Issued by Federated Mutual Insurance Company <br />Endorsement No.8 <br />Authorized Representative <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 />Orange County <br />300 W Tryon St <br />Hillsborough, NC 27278-2438 <br />Additional Reference: <br />Subject to the terms and conditions of the policy, Waiver of Subrogation also includes <br />Orange County, its officers, official agents and employees. <br />If work is performed in Missouri, this waiver does not apply to any construction group <br />of classifications as designated by the Waiver of Our Right to Recover from Others rule <br />in our manual. <br />Copyright 1983 National Council on Compensation Insurance. <br />WC 00 03 13 (04-84)Issue Date: 11/20/2025 <br /> <br /> Docusign Envelope ID: A7F06477-2040-4A23-8A12-774628636AE9