Orange County NC Website
Agency Code Policy Number16-0033-00 A106-565-102 <br />We have the right to recover our payments from anyone liable for any injury covered by this policy. We will not enforce <br />our 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 />Worker's Compensation and Employers Liability Insurance Policy <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />WC 00 03 13 <br /> 27060 (10-86) <br />Any person for whom, or organization in which, you perform a service. <br />SOUTH CAROLINA <br />Page of27060 (10-86)11 <br />Docusign Envelope ID: 1A6F375D-5051-8A14-822E-DFF04D0E2581