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WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />WO RKE RS CO M P E NS AT I O N AND E M P L O Y E RS L I ABI L I T Y I NS URANCE P O L I CY WC 00 03 13 <br />(Ed. 04-84) <br />” 1983 National Council on Compensation Insurance. <br />WC 00 03 13 <br />(Ed. 04-84) <br />2 of 2 <br />Insured Copy <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />Re public Inde mnity Compa ny of Ame r ic a <br />Company Number 19739 <br />Insured Corodata Corporation <br />Policy Number 254528-04 <br />Endorsement Number 3 <br />Endorsement Effective December 01, 2023 <br />Printed On November 30, 2023 <br />Countersigned by : <br />DocuSign Envelope ID: 00596A42-93D5-4913-B079-832401DC6EA0