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OLD REPUBLIC GENERAL INSURANCE CORPORATION <br /> WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: <br /> WORKERS'COMPENSATION AND EMPLOYERS'LIABILITY INSURANCE <br /> We have the right to recover our payments from anyone liable for an Injury covered by this policy. We will not enforce <br /> our right against the person or organization named in the Schedule. This agreement applies only to the extent that <br /> 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 /> WHEN REQUIRED BY WRITTEN CONTRACT. <br /> The premium charge for this endorsement is$0.00. <br /> Named Insured Preston Pipelines , Inc . <br /> Policy Number .Al DW99291302 _ Endorsement No. WC 9 9 0 315 (0 9/0 6 <br /> Policy Period 1/1/13- 1/1/14 ' Endorsement Effective Date: 1/1/13 <br /> Producer's Name: <br /> Producer Number: <br /> AUTHORIZED REPRESENTATIVE DATE <br /> WC 99 0315(09106) <br />