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CNA Workers Compensation And Employers Liability Insurance <br />Policy Endorsement <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. <br />This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. <br />Schedule <br />Any Person or Organization on whose behalf you are required to obtain this waiver of our right to recover <br />from under a written contract or agreement. <br />The premium charge for the endorsement is reflected in the Schedule of Operations. <br />All other terms and conditions of the policy remain unchanged. <br />This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, <br />takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another <br />effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy <br />unless another expiration date is shown below. <br />Form No: WC 00 03 13 (04-1984) Policy No: 6 50531402 <br />Endorsement No: 3; Page: 1 of 1 <br />Underwriting Company: American Casualty Company of Reading, Pennsylvania, 333 S Wabash Ave, <br />Chicago, IL 60604 <br />Copyright 1983 National Council on Compensation Insurance. <br />