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BETA Risk Management Authority ("BETARMA") <br />A Public Entity <br />AMENDMENT <br />BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS <br />Certificate Number: <br />WC-25-1064 <br />Amendment No.: <br />W106-01 <br />Issued to: Axis Community Health <br />Effective Date: <br />07/01/2025 at 12:01 a.m. <br />Expiration Date: <br />07/01/2026 at 12:01 a.m. <br />Additional Contribution: <br />Per Contract <br />This amendment changes the contract to which it is attached effective on inception date of the Coverage <br />Contract. <br />BETARMA has the right to recover payments it makes from anyone liable for an injury covered by this <br />Coverage Contract. BETARMA will not enforce its right against the person or organization named in the <br />Schedule. This amendment applies only to the extent work performed under a written contract requires the <br />Member to obtain this agreement from BETARMA. <br />This endorsement does not apply to benefits or damages paid or claimed because of injury occurring before the <br />Member entered into such a contract. <br />This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule. <br />Schedule <br />Any person or organization with whom the Member entered into a contract, a condition of which requires the <br />Member to obtain this waiver from BETARMA. <br />ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. <br />Page 7WC_EL W106 (07/19)Date Issued: July 01, 2025 (Initial) <br />Docusign Envelope ID: 1FF54D60-4FAC-4FF9-AE01-6E4CA6FCC839