Laserfiche WebLink
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />(Ed. 04-84) <br />WC 00 03 13 <br />Schedule <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 <br />agreement from us.) <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Any person or organization to whom you become obligated to waive your rights of recovery against,under <br />any contract or agreement you enter into prior to the occurrence of loss. <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 /> <br /> <br /> <br /> <br />Endorsement No.: <br />Insurance Company:Countersigned by: <br />003 <br />STARR INDEMNITY & LIABILITY CO <br />WC 00 03 13 <br />(Ed. 04-84)Page 1 of 1 <br />Policy No.:100 0005190 241Endorsement Effective:12/08/2024 <br />Insured:Duke's Root Control, Inc. <br />Docusign Envelope ID: 1A791935-55C3-4976-BEBF-1D6F49DE749D