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/&�Hanover � Jnsurance Group,. <br />W22 H464456 0901695 <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 <br />not enforce our right against the person or organization named in the Schedule. (This agreement applies <br />only to the extent that you perform work under a written contract that requires you to obtain this agreement <br />from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />AZ, AR, FL, GA, IL, MS, MO, OR, TX <br />THIS ENDORSEMENT APPLIES AS A BLANKET WAIVER <br />OF SUBROGATION FOR THOSE PARTIES HAVING A <br />WRITTEN CONTRACT WITH THE POLICYHOLDER REQUIRING <br />A WAIVER OF SUBROGATION FOR WORKERS COMPENSATION <br />COVERAGE OF THE POLICYHOLDERS EMPLOYEES. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement <br />Insured <br />Insurance Company <br />WC 00 0313 <br />(Ed. 4-84) <br />Effective Policy No. Endorsement No. <br />Premium <br />Countersigned by ________________ _ <br />Copyright 1983 National Council on Compensation Insurance. <br />Docusign Envelope ID: CA8705DF-3575-4273-B3E5-0EF60EBEB3C1