Laserfiche WebLink
<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 01-01-26 Policy No. WPH 5052915 06 Endorsement No. <br />Insured FRONTIER BUILDING PRODUCTS PACIFIC INC Premium $ INCL. <br />Insurance Company INSURANCE COMPANY OF THE WEST <br />Countersigned By <br /> <br />WC 00 03 13 <br />(Ed. 4-84) <br /> 1983 National Council on Compensation Insurance. <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 <br />(Ed. 4-84) <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 not <br />enforce our right against the person or organization named in the Schedule. (This agreement applies only to <br />the extent that you perform work under a written contract that requires you to obtain this 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 FOR WHOM THE NAMED INSURED IS <br />REQUIRED UNDER THE WRITTEN CONTRACT TO FURNISH THIS WAIVER. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />INSURED <br />Docusign Envelope ID: 747370BD-6177-8716-832E-12F48085F3BE