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BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different <br />date is indicated below. <br />(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). <br />This endorsement, effective 12.01 AM 03/01/2020 <br />forms a part of Policy No. WC 080-75-6343 <br />ssued to RIVER CITY GEOPROFESS I ONALS INC. DBA : <br />By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA <br />We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce <br />our right against any person or organization with whom you have a written contract that requires you to obtain this <br />agreement from us, as regards any work you perform for such person or organization. <br />The additional premium for this endorsement shall be 2,00 % of the total estimated workers compensation premium <br />for this policy. <br />WC 04 03 61 <br />(Ed. 11/90) <br />Countersigned by _ <br /> <br />Authorized Representative