Laserfiche WebLink
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br /> (Ed. 04-84) <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 /> 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 /> Endorsement Effective: 12/08/2025 Policy No.: 100 0005190 Endorsement No.:003 <br /> Insured: Duke's Root Control,Inc. <br /> WI4)Insurance Company:STARR INDEMNITY&LIABILITY CO Countersigned by: <br /> WC 00 03 13 <br /> (Ed. 04-84) Page 1 of 1 <br /> 375: 8 of 8 <br />